Tibial Tunnel Cyst Formation after Anterior Cruciate Ligament Reconstruction Using a Non-Bioabsorbable Interference Screw
10.5792/ksrr.2015.27.4.269
- Author:
Yogesh V JOSHI
1
;
Deepu BHASKAR
;
Padmanabh M PHALTANKAR
;
Charalambos P CHARALAMBOUS
Author Information
1. Department of Trauma and Orthopaedics, North Manchester General Hospital, Manchester, UK.
- Publication Type:Case Report
- Keywords:
Knee;
Tibial cyst;
Anterior cruciate ligament reconstruction;
Interference screw;
Metal
- MeSH:
Anterior Cruciate Ligament Reconstruction;
Anterior Cruciate Ligament;
Bone Transplantation;
Curettage;
Humans;
Knee;
Tendons;
Tibia;
Transplants
- From:The Journal of Korean Knee Society
2015;27(4):269-273
- CountryRepublic of Korea
- Language:English
-
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.
