| Case report: Fibroxanthoma: a complication of a biodegradable screw. | |
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MedLine Citation:
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PMID: 19936858 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Biodegradable interference screws in anterior cruciate ligament (ACL) reconstruction have gained popularity because of their similar or superior fixation strength in comparison to metallic interference screws and because they do not cause imaging artifacts and do not need to be removed. CASE DESCRIPTION: We report the case of a 23-year-old man who presented with slowly progressive firm swelling of 2 months' duration at the site of the tibial tunnel 3 years after ACL reconstruction using a biodegradable interference screw. After curettage and débridement, the material was sent for histopathologic examination, which was reported as a fibroxanthoma. LITERATURE REVIEW: Reported complications are osteolysis around the screw, allergic reaction, sterile abscess formation, ganglion cyst formation, and intraarticular migration. A fibroxanthoma consists of fibroblasts and mononuclear or multinucleated cells with large lipid-filled histiocytes (foam cells). The cells are negative for S-100 and keratin and positive for anti-human macrophage marker HAM-56. PURPOSES AND CLINICAL RELEVANCE: Use of biodegradable screws is associated with high healing rates and low complication rates; however, awareness of their potential complications may help in early recognition and prevention of associated morbidity. |
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Authors:
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Mir Sadat-Ali; Quamar Azzam; Mohammed Bluwi; Abdallah S Al-Umran |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-11-21 |
Journal Detail:
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Title: Clinical orthopaedics and related research Volume: 468 ISSN: 1528-1132 ISO Abbreviation: Clin. Orthop. Relat. Res. Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-02 Completed Date: 2010-07-20 Revised Date: 2013-05-31 |
Medline Journal Info:
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Nlm Unique ID: 0075674 Medline TA: Clin Orthop Relat Res Country: United States |
Other Details:
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Languages: eng Pagination: 2284-7 Citation Subset: AIM; IM |
Affiliation:
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The University Department of Orthopaedic Surgery, College of Medicine, King Faisal University, Dammam, Saudi Arabia. drsadat@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Absorbable Implants
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adverse effects* Adult Anterior Cruciate Ligament / surgery Antibodies, Monoclonal / analysis Bone Neoplasms / chemistry, pathology*, surgery Bone Screws / adverse effects* Curettage Debridement Histiocytes / chemistry, pathology Histiocytoma, Benign Fibrous / chemistry, pathology*, surgery Humans Macrophages / chemistry, pathology Male Prosthesis Failure Tibia / pathology*, surgery |
| Chemical | |
Reg. No./Substance:
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0/Antibodies, Monoclonal; 0/HAM-56 antibody |
| Comments/Corrections | |
Comment In:
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Clin Orthop Relat Res. 2011 Jan;469(1):300-1; author reply 302
[PMID:
20878555
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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