Intra-articular migration of tibial suture button in pediatric full epiphyseal anterior cruciate ligament reconstruction. A case report.
| Autor: | Koukoulias NE; Sports Trauma and Orthopaedic Department, St. Luke's Hospital, Thessaloniki, Greece. Electronic address: nkoukoulias@yahoo.gr., Germanou E; Aristotle University of Thessaloniki, Department of Physical Education and Sport Science, Thessaloniki, Greece., Koukoulias D; International Hellenic University, Department of Physiotherapy, Thessaloniki, Greece., Vasiliadis AV; Sports Trauma and Orthopaedic Department, St. Luke's Hospital, Thessaloniki, Greece., Dimitriadis T; Sports Trauma and Orthopaedic Department, St. Luke's Hospital, Thessaloniki, Greece. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of ISAKOS : joint disorders & orthopaedic sports medicine [J ISAKOS] 2024 Oct; Vol. 9 (5), pp. 100303. Date of Electronic Publication: 2024 Aug 08. |
| DOI: | 10.1016/j.jisako.2024.08.002 |
| Abstrakt: | We report a case of a 12-years-old boy that underwent anterior cruciate ligament (ACL) reconstruction and lateral meniscus repair. The all-epiphyseal, all-inside technique, with quadriceps tendon autograft and adjustable suspensory button fixation was utilized due to the open physes. Intraoperative fluoroscopy confirmed optimal position of the buttons, while arthroscopic evaluation of the graft showed proper tension, with full range of motion and knee stability. Nevertheless, routine radiographic evaluation of the knee, 6 h postoperatively, revealed tibial button migration through the tunnel into the knee joint, while the knee was unstable in clinical examination. The graft was removed and reloaded with extended buttons. The femoral socket was retained in the revision surgery while a new tibial socket was drilled with the transphyseal technique (all-inside technique). The postoperative course was uneventful. The patient returned to unrestricted activities at twelve months after revision surgery and remains fully active two years postoperatively. This is the first case of tibial button migration reported in the literature, with immediate migration after surgery, intra-articular position of the button and negative impact on graft tension. Failure to recognize and treat this detrimental complication could be catastrophic for the knee. The technique of the surgical treatment is also described. Surgeons should be aware of this rare complication, that could adversely affect the clinical outcome. Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Nikolaos Koukoulias reports a relationship with Smith and Nephew Inc that includes: consulting or advisory. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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