Logo Medical Science Monitor

Call: +1.631.470.9640
Closed: National Holiday

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

30 December 2008

A complication of soft tissue graft tibial fixation with the IntraFix device

Arturo AlmazanABCDEF, Juan Pablo HerreraBF, Carlos ChaidezF, Francisco CruzF, Francisco J. PerezF, Clemente IbarraF

Med Sci Monit 2009; 15(1): CS19-21 :: ID: 869525

Abstract

Background
One potential complication of interference devices to fix anterior cruciate ligament (ACL) grafts is divergence between the implant and the graft-tunnel. Tunnel-screw divergence >15-30 degrees significantly reduces graft-tunnel fixation and may compromise the stability of the knee.
Material and Method
A complication of the IntraFix device is presented. A 43-year-old male sustained a primary ACL reconstruction. The autologous hamstring graft was fixed in the tibia with the IntraFix device. The procedure went without apparent incidents or complications. During postoperative follow-up he developed pain and crepitus over the anteromedial aspect of the operated knee. A flexion contracture slowly developed up to 10 degrees and did not improve with aggressive physiotherapy. At eight postoperative weeks, second-look arthroscopy was performed. The intraoperative findings were a healthy-looking ACL graft and a grade III chondral injury in the medial femoral condyle (MFC) caused by the tip of the IntraFix device, which protruded through the medial tibial plateau. During flexion-extension motion of the knee, the tip eroded the chondral surface of the MFC. This was treated with mechanical and thermal chondroplasty and the tip of the IntraFix device was burred flat to match the surface of the medial tibial plateau. The patient's symptoms improved.
Results

Conclusions
Divergence of the interference screws in the femur is not uncommon, but on the tibia it is rare. Although this technical error did not affect stability, it did produce intrarticular injury. Strict adherence to the surgical technique is recommended and several hints on how to avoid complications with this implant are suggested.

Keywords: Tibia - surgery, Tissue Transplantation - methods, Tendons - transplantation, Intraoperative Complications - surgery, Cartilage - injuries, Bone Screws - adverse effects, Anterior Cruciate Ligament - surgery

Add Comment 0 Comments

Editorial

01 June 2024 : Editorial  

Editorial: Concerns as Highly Pathogenic Avian Influenza (HPAI) Virus of the H5N1 Subtype is Identified in Dairy Cows and Other Mammals

Dinah V. Parums

DOI: 10.12659/MSM.945315

Med Sci Monit 2024; 30:e945315

0:00

In Press

Animal Research  

Targeting the Gut-Kidney Axis in Diarrhea with Kidney-Yang Deficiency Syndrome: The Role of Sishen Pills in...

Med Sci Monit In Press; DOI: 10.12659/MSM.944185  

Review article  

A New Pandemic of the XXIst Century: The Growing Crisis of Adolescent Depression in the Digital Age

Med Sci Monit In Press; DOI: 10.12659/MSM.944838  

Review article  

A Review of Wastewater-Based Epidemiology Studies for the Assessment of Over-the-Counter Medicines Used as ...

Med Sci Monit In Press; DOI: 10.12659/MSM.944120  

Clinical Research  

Functional Outcomes of Therapeutic Selective Nerve Root Block for Single-Segment Lumbar Spinal Stenosis: A ...

Med Sci Monit In Press; DOI: 10.12659/MSM.943634  

Most Viewed Current Articles

17 Jan 2024 : Review article   1,652,499

Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron Variant

DOI :10.12659/MSM.942799

Med Sci Monit 2024; 30:e942799

0:00

14 Dec 2022 : Clinical Research   1,522,350

Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase Levels

DOI :10.12659/MSM.937990

Med Sci Monit 2022; 28:e937990

0:00

16 May 2023 : Clinical Research   690,265

Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...

DOI :10.12659/MSM.940387

Med Sci Monit 2023; 29:e940387

0:00

01 Jan 2022 : Editorial   50,215

Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...

DOI :10.12659/MSM.935952

Med Sci Monit 2022; 28:e935952

0:00

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750