Failure of anterior cruciate ligament reconstruction following calcification of the graft

Anterior cruciate ligament (ACL) reconstruction is a commonplace orthopaedic procedure. It is most commonly performed using an autologous bone-patella tendon-bone graft, although other donor sites are also used. Failure of the graft can occur for a variety of reasons. We describe here failure of suc...

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Bibliographic Details
Published in:The knee 2002-09, Vol.9 (3), p.245-247
Main Authors: Batra, G.S, Harrison, J.W.K, Clough, T.M, Paul, A.S
Format: Article
Language:English
Subjects:
ACL reconstruction
Adult
Anterior Cruciate Ligament - diagnostic imaging
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries
Arthroplasty, Replacement, Knee - adverse effects
Calcinosis - diagnostic imaging
Calcinosis - etiology
Ectopic calcification
Humans
Knee Injuries - diagnostic imaging
Knee Injuries - surgery
Male
Postoperative Complications
Radiography
Reoperation
Semitendinosus graft
Treatment Failure
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Description
Summary:Anterior cruciate ligament (ACL) reconstruction is a commonplace orthopaedic procedure. It is most commonly performed using an autologous bone-patella tendon-bone graft, although other donor sites are also used. Failure of the graft can occur for a variety of reasons. We describe here failure of such an ACL reconstruction in a young man secondary to ectopic calcification of the graft, which led to excessive rigidity and its subsequent avulsion from the proximal attachment. This case illustrates the benefits of being able to reconstruct the ACL by more than one technique, which can be used if another method fails.
ISSN:0968-0160
1873-5800
DOI:10.1016/S0968-0160(02)00021-2