Fracture of Bilok interference screws on insertion during anterior cruciate ligament reconstruction

被引:22
作者
Smith, CA [1 ]
Tennent, TD [1 ]
Pearson, SE [1 ]
Beach, WR [1 ]
机构
[1] Orthopaed Res Virginia, Richmond, VA 23294 USA
关键词
ACL reconstruction; bioabsorbable interference screws; screw breakage;
D O I
10.1016/S0749-8063(03)00819-3
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
New femoral and tibial interference screws for use during anterior cruciate ligament (ACL) reconstruction have been developed using a composite of poly-L-lactic acid (PLLA) and tricalcium, phosphate (TCP). The combination is described as having better incorporation than standard bioabsorbable screws with no loss of mass during incorporation and without the brittle nature associated with conventional TCP implants. However, the screw can fracture during insertion, leaving the distal third inside the femoral or tibial tunnel, making extraction and revision difficult. This is a report of 2 cases of PLLA-TCP screw breakage, 1 occurring in the femoral tunnel and I occurring in the tibial tunnel.
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页数:3
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