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A case report of anterior cruciate ligament and posterolateral corner reconstruction using tendon graft preserved in situ

INTRODUCTION: Combined anterior cruciate ligament (ACL) and posterolateral corner (PLC) reconstruction are a rare clinical entity in orthopedic literature, whose management requires different types of tendon grafts. Missed PLC injury leads to the failure of ACL repair due to the joint instability. P...

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Autores principales: Mpatswenumugabo, Bosco, Bukara, Emmanuel, Semakula, Muhammed, Nzayisenga, Albert, Mukezamfura, Rene, Dusingizimana, Lambert, Habumugisha, Basile, Kamarampaka, Salvador, Mutesa, Leon, Butera, Alex
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5927806/
https://www.ncbi.nlm.nih.gov/pubmed/29475170
http://dx.doi.org/10.1016/j.ijscr.2018.02.018
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author Mpatswenumugabo, Bosco
Bukara, Emmanuel
Semakula, Muhammed
Nzayisenga, Albert
Mukezamfura, Rene
Dusingizimana, Lambert
Habumugisha, Basile
Kamarampaka, Salvador
Mutesa, Leon
Butera, Alex
author_facet Mpatswenumugabo, Bosco
Bukara, Emmanuel
Semakula, Muhammed
Nzayisenga, Albert
Mukezamfura, Rene
Dusingizimana, Lambert
Habumugisha, Basile
Kamarampaka, Salvador
Mutesa, Leon
Butera, Alex
author_sort Mpatswenumugabo, Bosco
collection PubMed
description INTRODUCTION: Combined anterior cruciate ligament (ACL) and posterolateral corner (PLC) reconstruction are a rare clinical entity in orthopedic literature, whose management requires different types of tendon grafts. Missed PLC injury leads to the failure of ACL repair due to the joint instability. PRESENTATION OF CASE: We are presenting a case of posttraumatic right ACL, PLC and lateral meniscus injury. The patient was taken to theatre for arthroscopic meniscectomy, ACL and PLC reconstruction. We had to harvest bilateral Gracilis and semitendinosus tendon grafts. Intraoperatively, we used a pump and after meniscectomy and ACL reconstruction the knee was quite swollen; we opted to offer a two-staged procedure for PLC reconstruction. Hence we had to preserve the graft in situ for the next procedure. Posterolateral corner reconstruction was done in a week’s time and preserved ligament was found to be intact. DISCUSSION: The fact that we did not have a tissue bank or facilities for cryopreservation of the harvested tendons at −80 °C or with liquid nitrogen at −179 °C yet we had to keep the harvested tendons safe. CONCLUSION: In case of absence of graft and bone bank, tendon graft was in situ and found intact and ready to be used after seven days.
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spelling pubmed-59278062018-05-01 A case report of anterior cruciate ligament and posterolateral corner reconstruction using tendon graft preserved in situ Mpatswenumugabo, Bosco Bukara, Emmanuel Semakula, Muhammed Nzayisenga, Albert Mukezamfura, Rene Dusingizimana, Lambert Habumugisha, Basile Kamarampaka, Salvador Mutesa, Leon Butera, Alex Int J Surg Case Rep Article INTRODUCTION: Combined anterior cruciate ligament (ACL) and posterolateral corner (PLC) reconstruction are a rare clinical entity in orthopedic literature, whose management requires different types of tendon grafts. Missed PLC injury leads to the failure of ACL repair due to the joint instability. PRESENTATION OF CASE: We are presenting a case of posttraumatic right ACL, PLC and lateral meniscus injury. The patient was taken to theatre for arthroscopic meniscectomy, ACL and PLC reconstruction. We had to harvest bilateral Gracilis and semitendinosus tendon grafts. Intraoperatively, we used a pump and after meniscectomy and ACL reconstruction the knee was quite swollen; we opted to offer a two-staged procedure for PLC reconstruction. Hence we had to preserve the graft in situ for the next procedure. Posterolateral corner reconstruction was done in a week’s time and preserved ligament was found to be intact. DISCUSSION: The fact that we did not have a tissue bank or facilities for cryopreservation of the harvested tendons at −80 °C or with liquid nitrogen at −179 °C yet we had to keep the harvested tendons safe. CONCLUSION: In case of absence of graft and bone bank, tendon graft was in situ and found intact and ready to be used after seven days. Elsevier 2018-02-17 /pmc/articles/PMC5927806/ /pubmed/29475170 http://dx.doi.org/10.1016/j.ijscr.2018.02.018 Text en © 2018 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Mpatswenumugabo, Bosco
Bukara, Emmanuel
Semakula, Muhammed
Nzayisenga, Albert
Mukezamfura, Rene
Dusingizimana, Lambert
Habumugisha, Basile
Kamarampaka, Salvador
Mutesa, Leon
Butera, Alex
A case report of anterior cruciate ligament and posterolateral corner reconstruction using tendon graft preserved in situ
title A case report of anterior cruciate ligament and posterolateral corner reconstruction using tendon graft preserved in situ
title_full A case report of anterior cruciate ligament and posterolateral corner reconstruction using tendon graft preserved in situ
title_fullStr A case report of anterior cruciate ligament and posterolateral corner reconstruction using tendon graft preserved in situ
title_full_unstemmed A case report of anterior cruciate ligament and posterolateral corner reconstruction using tendon graft preserved in situ
title_short A case report of anterior cruciate ligament and posterolateral corner reconstruction using tendon graft preserved in situ
title_sort case report of anterior cruciate ligament and posterolateral corner reconstruction using tendon graft preserved in situ
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5927806/
https://www.ncbi.nlm.nih.gov/pubmed/29475170
http://dx.doi.org/10.1016/j.ijscr.2018.02.018
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