J Korean Orthop Assoc.  2007 Dec;42(6):836-839. 10.4055/jkoa.2007.42.6.836.

Heterotopic Bone Formation in Patient who Underwent a Posterior Cruciate Ligament Reconstruction using the Inlay Method and Posterolateral Corner Sling with a Tibia Tunnel: A Case Report

Affiliations
  • 1The Armed Forces Yangju Hospital, Yangju, Korea.
  • 2Department of Orthopedic Surgery, Chung-Ang University Medical Center, Seoul, Korea. jungyb2000@paran.co.kr

Abstract

We describe a case of posterolateral capsular heterotopic ossification requiring a surgical excision after a PCL (Posterior Cruciate Ligament) reconstruction using the modified inlay method and PLCS (posterolateral corner sling) with a tibia tunnel. A 21-year-old female patient had suffered a blunt proximal tibial direct trauma 6 months earlier. She did not experience limb ischemia or a pulse deficit before she visited our out patient clinic. She had not suffered any trauma in other sites, and showed a range of motion of 0 to 30degrees at 4 months after surgery. There was no specific finding on the X-ray images. Arthroscopic adhesiolysis was performed and her range of motion increased to 0 to 120degrees. However, 6 months after the initial operation, she showed ankylosis and heterotopic ossification at the posterior aspect, which was surgically removed at 12 months postoperatively. After the second surgery, there was no recurrence and she showed a 0 to 140degrees range of motion at postoperative 42 months.

Keyword

Posterior cruciate ligament reconstruction; Posterolateral corner sling; Adhesiolysis; Heterotopic ossification

MeSH Terms

Ankylosis
Extremities
Female
Humans
Inlays*
Ischemia
Ossification, Heterotopic
Osteogenesis*
Posterior Cruciate Ligament*
Range of Motion, Articular
Recurrence
Tibia*
Young Adult
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