Document Detail


Iliotibial band friction syndrome after anterior cruciate ligament reconstruction using the transfix device: report of two cases and review of the literature.
MedLine Citation:
PMID:  16369856     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The use of hamstrings is increasing as a treatment for anterior cruciate ligament (ACL) injuries. There are a lot of new devices and techniques that try to fix the graft without causing further injury or increased morbidity. We report two cases in relation to the transfix device for reconstructing the ACL. The first case is a 38-year-old female who was treated with an autologous hamstring graft for chronic ACL instability brought on by a sport trauma. The patient developed iliotibial band friction syndrome 3 months after the operation. MRI showed incorrect positioning and a rupture of the femoral bio-absorbable cross-pin. The hamstring graft always had good fixation and did not produce instability of the knee. We removed the cross-pin fragment in a second surgery and the patient returned to her daily lifestyle after 3 weeks. The second case is a 52-year-old female with a painful and unstable knee due to a previous lateral meniscectomy and failure of an ACL reconstruction. We performed an ACL reconstruction with an autologous hamstring graft and a lateral meniscus transplantation. Some months after the procedure she also developed this syndrome. MRI showed the same features as shown in the first case and a second surgery was needed. To our knowledge this clinical and technical problem has not been previously described.
Authors:
Xavier Pelfort; Joan C Monllau; Lluís Puig; Enric Cáceres
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2005-12-21
Journal Detail:
Title:  Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA     Volume:  14     ISSN:  0942-2056     ISO Abbreviation:  Knee Surg Sports Traumatol Arthrosc     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-02     Completed Date:  2006-11-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9314730     Medline TA:  Knee Surg Sports Traumatol Arthrosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  586-9     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, Universitat Autònoma de Barcelona, Passeig Marítim, 25-29, 08003, Barcelona, Spain. jpelfort@imas.imim.es
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MeSH Terms
Descriptor/Qualifier:
Adult
Anterior Cruciate Ligament / injuries,  surgery*
Device Removal
Equipment Failure
Female
Friction
Humans
Joint Instability / surgery*
Middle Aged
Orthopedic Procedures / adverse effects,  instrumentation*
Reoperation
Syndrome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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