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Delayed onset bioabsorbable screw reaction, intact screw extrusion and Pseudomonas aeruginosa tibial tunnel osteomyelitis years after arthroscopic anterior cruciate ligament reconstruction using hamstring graft.
BMJ Case Rep 2019; 12(9)BC

Abstract

Postoperative reaction and infection after anterior cruciate ligament (ACL) reconstruction is a rare complication. We report two cases of bioabsorbable screw extrusion and Pseudomonas aeruginosa tibial tunnel infection in 17/18-year-old men, 2 and 4 years after ACL reconstruction, respectively. They underwent tibial tunnel debridement, removal of the still intact poly-L-D-lactic acid bioabsorbable screw and subsequent wound closure. Physical examination findings confirmed patency of the hamstring graft. Culture guided antibiotics were completed, and wounds healed unremarkably. Both returned to previous level of activity. Successful treatment is achieved through a logical sequence of management, as well as a multidisciplinary approach to prevent unnecessary secondary procedures and morbidity.

Authors+Show Affiliations

Department of Orthopedics, University of the Philippines Manila, Ermita, Manila, Metro Manila, Philippines.Department of Orthopedics, University of the Philippines Manila, Ermita, Manila, Metro Manila, Philippines.Department of Orthopedics, University of the Philippines Manila, Ermita, Manila, Metro Manila, Philippines.Department of Internal Medicine, Infectious Disease Service, Philippine General Hospital, University of the Philippines, Manila CIty, Philippines.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31537588

Citation

Dumlao, Patricio Iii Espinoza, et al. "Delayed Onset Bioabsorbable Screw Reaction, Intact Screw Extrusion and Pseudomonas Aeruginosa Tibial Tunnel Osteomyelitis Years After Arthroscopic Anterior Cruciate Ligament Reconstruction Using Hamstring Graft." BMJ Case Reports, vol. 12, no. 9, 2019.
Dumlao PIE, Paner N, Bathan L, et al. Delayed onset bioabsorbable screw reaction, intact screw extrusion and Pseudomonas aeruginosa tibial tunnel osteomyelitis years after arthroscopic anterior cruciate ligament reconstruction using hamstring graft. BMJ Case Rep. 2019;12(9).
Dumlao, P. I. E., Paner, N., Bathan, L., & Lim, B. A. (2019). Delayed onset bioabsorbable screw reaction, intact screw extrusion and Pseudomonas aeruginosa tibial tunnel osteomyelitis years after arthroscopic anterior cruciate ligament reconstruction using hamstring graft. BMJ Case Reports, 12(9), doi:10.1136/bcr-2019-229927.
Dumlao PIE, et al. Delayed Onset Bioabsorbable Screw Reaction, Intact Screw Extrusion and Pseudomonas Aeruginosa Tibial Tunnel Osteomyelitis Years After Arthroscopic Anterior Cruciate Ligament Reconstruction Using Hamstring Graft. BMJ Case Rep. 2019 Sep 18;12(9) PubMed PMID: 31537588.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Delayed onset bioabsorbable screw reaction, intact screw extrusion and Pseudomonas aeruginosa tibial tunnel osteomyelitis years after arthroscopic anterior cruciate ligament reconstruction using hamstring graft. AU - Dumlao,Patricio Iii Espinoza, AU - Paner,Nilo, AU - Bathan,Lyndon, AU - Lim,Bryan Albert, Y1 - 2019/09/18/ PY - 2019/9/21/entrez KW - bone and joint infections KW - orthopaedics KW - unwanted effects/adverse reactions JF - BMJ case reports JO - BMJ Case Rep VL - 12 IS - 9 N2 - Postoperative reaction and infection after anterior cruciate ligament (ACL) reconstruction is a rare complication. We report two cases of bioabsorbable screw extrusion and Pseudomonas aeruginosa tibial tunnel infection in 17/18-year-old men, 2 and 4 years after ACL reconstruction, respectively. They underwent tibial tunnel debridement, removal of the still intact poly-L-D-lactic acid bioabsorbable screw and subsequent wound closure. Physical examination findings confirmed patency of the hamstring graft. Culture guided antibiotics were completed, and wounds healed unremarkably. Both returned to previous level of activity. Successful treatment is achieved through a logical sequence of management, as well as a multidisciplinary approach to prevent unnecessary secondary procedures and morbidity. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/31537588/Delayed_onset_bioabsorbable_screw_reaction,_intact_screw_extrusion_and_Pseudomonas_aeruginosa_tibial_tunnel_osteomyelitis_years_after_arthroscopic_anterior_cruciate_ligament_reconstruction_using_hamstring_graft L2 - https://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=31537588 DB - PRIME DP - Unbound Medicine ER -