Knee Surg Relat Res.  2015 Dec;27(4):269-273. 10.5792/ksrr.2015.27.4.269.

Tibial Tunnel Cyst Formation after Anterior Cruciate Ligament Reconstruction Using a Non-Bioabsorbable Interference Screw

Affiliations
  • 1Department of Trauma and Orthopaedics, North Manchester General Hospital, Manchester, UK.
  • 2Department of Trauma and Orthopaedics, Blackpool Victoria Hospital, Blackpool, UK. deepu.bhaskar@gmail.com
  • 3School of Medicine and Dentistry, University of Central Lancashire, Preston, UK.
  • 4Institute of Inflammation and Repair, Faculty of Medical and Human Sciences, University of Manchester, Manchester, UK.

Abstract

Tibial cyst formation following the use of bioabsorbable interference screws in anterior cruciate ligament (ACL) reconstruction is well-described; however, cyst formation after the use of metallic interference screws is not well-documented. We describe a case of osteolytic lesion of the proximal tibia presenting to us 20 years after ACL reconstruction using an autologous bone-tendon-bone graft. The original graft fixation technique was interference fixation with a metal screw in the tibial and femoral tunnels. A two-stage revision reconstruction of the ACL was undertaken with curettage and bone grafting of the tibial lesion in the first stage and reconstruction using a four-strand hamstring tendon in the second stage. The patient recovered satisfactorily with complete healing of the cyst and returned to pre-injury level of activities. We have reviewed case reports and case series that describe the aetiology of intra-osseous cyst formation following ACL reconstruction.

Keyword

Knee; Tibial cyst; Anterior cruciate ligament reconstruction; Interference screw; Metal

MeSH Terms

Anterior Cruciate Ligament Reconstruction*
Anterior Cruciate Ligament*
Bone Transplantation
Curettage
Humans
Knee
Tendons
Tibia
Transplants
Full Text Links
  • KSRR
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr