Post-ACL Reconstruction Graft Failure in Severe Gout Arthritis Patient

INTRODUCTION: Pain and instability following an anterior cruciate ligament (ACL) reconstruction remain a significant issue. Common causes include infection and inflammation, and mechanical issues such as graft failure. CASE PRESENTATION: A 36-year-old male with an ACL reconstruction six years prior...

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Autores principales: Lubis, Andri Maruli Tua, Reksoprodjo, Adisa Yusuf, Kuncoro, Mohamad Walid, Ifran, Nadia Nastassia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8520886/
https://www.ncbi.nlm.nih.gov/pubmed/34675691
http://dx.doi.org/10.2147/IMCRJ.S325642
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author Lubis, Andri Maruli Tua
Reksoprodjo, Adisa Yusuf
Kuncoro, Mohamad Walid
Ifran, Nadia Nastassia
author_facet Lubis, Andri Maruli Tua
Reksoprodjo, Adisa Yusuf
Kuncoro, Mohamad Walid
Ifran, Nadia Nastassia
author_sort Lubis, Andri Maruli Tua
collection PubMed
description INTRODUCTION: Pain and instability following an anterior cruciate ligament (ACL) reconstruction remain a significant issue. Common causes include infection and inflammation, and mechanical issues such as graft failure. CASE PRESENTATION: A 36-year-old male with an ACL reconstruction six years prior was admitted due to pain and swelling. The ACL graft that had ruptured was found arthroscopically. Numerous gout crystals and tophus were observed inside. This finding is suggested as a cause of this kind of complication. DISCUSSION: Biological failure is one of the causes of graft failure. Gout arthritis is associated with internal derangement of the joint structures, which is reported in advanced case. CONCLUSION: Severe gouty arthritis, even though rare, could be an etiology of graft failure following ACL reconstruction and cause significant morbidity.
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spelling pubmed-85208862021-10-20 Post-ACL Reconstruction Graft Failure in Severe Gout Arthritis Patient Lubis, Andri Maruli Tua Reksoprodjo, Adisa Yusuf Kuncoro, Mohamad Walid Ifran, Nadia Nastassia Int Med Case Rep J Case Report INTRODUCTION: Pain and instability following an anterior cruciate ligament (ACL) reconstruction remain a significant issue. Common causes include infection and inflammation, and mechanical issues such as graft failure. CASE PRESENTATION: A 36-year-old male with an ACL reconstruction six years prior was admitted due to pain and swelling. The ACL graft that had ruptured was found arthroscopically. Numerous gout crystals and tophus were observed inside. This finding is suggested as a cause of this kind of complication. DISCUSSION: Biological failure is one of the causes of graft failure. Gout arthritis is associated with internal derangement of the joint structures, which is reported in advanced case. CONCLUSION: Severe gouty arthritis, even though rare, could be an etiology of graft failure following ACL reconstruction and cause significant morbidity. Dove 2021-10-13 /pmc/articles/PMC8520886/ /pubmed/34675691 http://dx.doi.org/10.2147/IMCRJ.S325642 Text en © 2021 Lubis et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Case Report
Lubis, Andri Maruli Tua
Reksoprodjo, Adisa Yusuf
Kuncoro, Mohamad Walid
Ifran, Nadia Nastassia
Post-ACL Reconstruction Graft Failure in Severe Gout Arthritis Patient
title Post-ACL Reconstruction Graft Failure in Severe Gout Arthritis Patient
title_full Post-ACL Reconstruction Graft Failure in Severe Gout Arthritis Patient
title_fullStr Post-ACL Reconstruction Graft Failure in Severe Gout Arthritis Patient
title_full_unstemmed Post-ACL Reconstruction Graft Failure in Severe Gout Arthritis Patient
title_short Post-ACL Reconstruction Graft Failure in Severe Gout Arthritis Patient
title_sort post-acl reconstruction graft failure in severe gout arthritis patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8520886/
https://www.ncbi.nlm.nih.gov/pubmed/34675691
http://dx.doi.org/10.2147/IMCRJ.S325642
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