Knee Surg Relat Res.
2015 Dec;27(4):269-273. 10.5792/ksrr.2015.27.4.269.
Tibial Tunnel Cyst Formation after Anterior Cruciate Ligament Reconstruction Using a Non-Bioabsorbable Interference Screw
- Affiliations
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- 1Department of Trauma and Orthopaedics, North Manchester General Hospital, Manchester, UK.
- 2Department of Trauma and Orthopaedics, Blackpool Victoria Hospital, Blackpool, UK. deepu.bhaskar@gmail.com
- 3School of Medicine and Dentistry, University of Central Lancashire, Preston, UK.
- 4Institute of Inflammation and Repair, Faculty of Medical and Human Sciences, University of Manchester, Manchester, UK.
- KMID: 2149682
- DOI: http://doi.org/10.5792/ksrr.2015.27.4.269
Abstract
- Tibial cyst formation following the use of bioabsorbable interference screws in anterior cruciate ligament (ACL) reconstruction is well-described; however, cyst formation after the use of metallic interference screws is not well-documented. We describe a case of osteolytic lesion of the proximal tibia presenting to us 20 years after ACL reconstruction using an autologous bone-tendon-bone graft. The original graft fixation technique was interference fixation with a metal screw in the tibial and femoral tunnels. A two-stage revision reconstruction of the ACL was undertaken with curettage and bone grafting of the tibial lesion in the first stage and reconstruction using a four-strand hamstring tendon in the second stage. The patient recovered satisfactorily with complete healing of the cyst and returned to pre-injury level of activities. We have reviewed case reports and case series that describe the aetiology of intra-osseous cyst formation following ACL reconstruction.
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