Management of Chronic Transtibial Articulocutaneous Fistula After All-Inside ACL Reconstruction: A Case Report.

Autor:	Boushnak MO; The Department of Orthopedic Surgery, Lebanses Military Hospital, Beirut, Lebanon.; Université Libre de Bruxelles, Faculty of Medicine, Department of Orthopedic Surgery, Brussels, Belgium., Moussa MK; The Department of Orthopedic Surgery, Grand Hospital de l'Est Francilien, Meaux, France., Alayane A; The Department of Orthopedic Surgery, Grand Hospital de l'Est Francilien, Meaux, France., Mirzoyan H; Université Libre de Bruxelles, Faculty of Medicine, Department of Orthopedic Surgery, Brussels, Belgium.; Department of Orthopedics and Traumatology, ULB Erasme University Hospital, Brussels, Belgium., Hajjar S; The Department of Orthopedic Surgery, Lebanses Military Hospital, Beirut, Lebanon.
Jazyk:	angličtina
Zdroj:	JBJS case connector [JBJS Case Connect] 2022 Aug 29; Vol. 12 (3). Date of Electronic Publication: 2022 Aug 29 (Print Publication: 2022).
DOI:	e22.00159
Abstrakt:	Case: A 29-year-old man presented 2 years after anterior cruciate ligament (ACL) reconstruction by autologous semitendinosus graft and suspensory fixation on both tibial and femoral sides for chronic drainage of clear fluid from an anteromedial wound at the site of the tibial tunnel with a visible sinus tract. Magnetic resonance imaging showed a transtibial articulocutaneous fistula. The patient was treated by tunnel debridement, impaction bone grafting, bioresorbable interference screw, and cement to fully seal the tunnel. The surgery was successful with good clinical outcomes for recurrence and knee stability. Conclusion: Communicating transtibial articulocutaneous fistulas are rare complications after ACL reconstruction. Tunnel debridement and filling with graft material affected by an interference screw seem to be an effective method for dealing with such a clinical scenario. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B916). (Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze:	MEDLINE
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