OCAD MSK

History

28M ACL recon x 2, most recently Sept 15 with persistent anteiror pretibial pain, increased in the last month

Figure 1 for case ACL graft device ( RID5523 ) — Figure 1

Figure 2 for case ACL graft device ( RID5523 ) — Figure 2

Figure 3 for case ACL graft device ( RID5523 ) — Figure 3

Figure 4 for case ACL graft device ( RID5523 ) — Figure 4

Figure 5 for case ACL graft device ( RID5523 ) — Figure 5

Discussion

There is fragmentation of one of the 2 bioabsorbable interference screws in the tibial tunnel, with a fragment situation in a cyst superficial to the tibial tunnel. The ACL graft is markedly attenuated. The last slide shows the failed, fragmented bioabsorbable femoral crosspin (arrow) from the initial reconstruction in 2011. Might be time for a Bone-Patellar Tendon-Bone autograft with metallic fixation?

Diagnosis

ACL graft device ( RID5523 )

Hilary Umans, MD

Courtesy

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