Early Failure of Primary Total Knee Arthroplasty Due to Massive Osteolysis Caused by Bio-Absorbable Interference Screws

We report an unusual case in which an unabsorbed bio-absorbable screw in the tibial tunnel of anterior cruciate ligament reconstruction (ACLR) performed 11 years ago caused massive osteolysis and subsequent failure of total knee arthroplasty (TKA). ACLR was performed using suspensory fixation on the...

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Autores principales: Galiveeti, Mukund Reddy V, El-Abed, Khaldoun, Ahmad, Riaz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Orthopedics
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10224710/
https://www.ncbi.nlm.nih.gov/pubmed/37252598
http://dx.doi.org/10.7759/cureus.38143
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author Galiveeti, Mukund Reddy V
El-Abed, Khaldoun
Ahmad, Riaz
author_facet Galiveeti, Mukund Reddy V
El-Abed, Khaldoun
Ahmad, Riaz
author_sort Galiveeti, Mukund Reddy V
collection PubMed
description We report an unusual case in which an unabsorbed bio-absorbable screw in the tibial tunnel of anterior cruciate ligament reconstruction (ACLR) performed 11 years ago caused massive osteolysis and subsequent failure of total knee arthroplasty (TKA). ACLR was performed using suspensory fixation on the femoral side and a bio-absorbable interference screw on the tibial side. Fragmentation of the bio-absorbable screw at the time of tibial component implantation is thought to have evoked an accelerated inflammatory response, causing osteolysis, which finally resulted in early failure of the TKA.
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spelling pubmed-102247102023-05-28 Early Failure of Primary Total Knee Arthroplasty Due to Massive Osteolysis Caused by Bio-Absorbable Interference Screws Galiveeti, Mukund Reddy V El-Abed, Khaldoun Ahmad, Riaz Cureus Orthopedics We report an unusual case in which an unabsorbed bio-absorbable screw in the tibial tunnel of anterior cruciate ligament reconstruction (ACLR) performed 11 years ago caused massive osteolysis and subsequent failure of total knee arthroplasty (TKA). ACLR was performed using suspensory fixation on the femoral side and a bio-absorbable interference screw on the tibial side. Fragmentation of the bio-absorbable screw at the time of tibial component implantation is thought to have evoked an accelerated inflammatory response, causing osteolysis, which finally resulted in early failure of the TKA. Cureus 2023-04-26 /pmc/articles/PMC10224710/ /pubmed/37252598 http://dx.doi.org/10.7759/cureus.38143 Text en Copyright © 2023, Galiveeti et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Orthopedics
Galiveeti, Mukund Reddy V
El-Abed, Khaldoun
Ahmad, Riaz
Early Failure of Primary Total Knee Arthroplasty Due to Massive Osteolysis Caused by Bio-Absorbable Interference Screws
title Early Failure of Primary Total Knee Arthroplasty Due to Massive Osteolysis Caused by Bio-Absorbable Interference Screws
title_full Early Failure of Primary Total Knee Arthroplasty Due to Massive Osteolysis Caused by Bio-Absorbable Interference Screws
title_fullStr Early Failure of Primary Total Knee Arthroplasty Due to Massive Osteolysis Caused by Bio-Absorbable Interference Screws
title_full_unstemmed Early Failure of Primary Total Knee Arthroplasty Due to Massive Osteolysis Caused by Bio-Absorbable Interference Screws
title_short Early Failure of Primary Total Knee Arthroplasty Due to Massive Osteolysis Caused by Bio-Absorbable Interference Screws
title_sort early failure of primary total knee arthroplasty due to massive osteolysis caused by bio-absorbable interference screws
topic Orthopedics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10224710/
https://www.ncbi.nlm.nih.gov/pubmed/37252598
http://dx.doi.org/10.7759/cureus.38143
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