Effusions after anterior cruciate ligament reconstruction using the ligament augmentation device

Persistent effusions occurred in 4.3% (seven patients) of 164 patients who underwent anterior cruciate ligament (ACL) reconstruction using an autograft augmented with the ligament augmentation device (LAD) between 1986 and 1989. No bacteria were cultured from the joint fluid. The radiograph in each...

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Veröffentlicht in:Arthroscopy 1992, Vol.8 (3), p.305-310
Hauptverfasser: Yamamoto, Haruyasu, Ishibashi, Toshiro, Muneta, Takeshi, Furuya, Kohtaro, Mizuta, Takayuki
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container_end_page 310
container_issue 3
container_start_page 305
container_title Arthroscopy
container_volume 8
creator Yamamoto, Haruyasu
Ishibashi, Toshiro
Muneta, Takeshi
Furuya, Kohtaro
Mizuta, Takayuki
description Persistent effusions occurred in 4.3% (seven patients) of 164 patients who underwent anterior cruciate ligament (ACL) reconstruction using an autograft augmented with the ligament augmentation device (LAD) between 1986 and 1989. No bacteria were cultured from the joint fluid. The radiograph in each case showed a tibial drill hole located anteriorly or anterolaterally. Arthroscopy confirmed an abraded LAD in six cases and breakage of the LAD in one case and impingement of the graft on the femoral condyle during extension. Under polarized light microscopy, the histology of the synovia showed foreign body giant cells in one case and particles among the proliferative cells in four cases. The effusions subsided in two cases after notchplasty and in five cases after removal of the LAD. Impingement of the graft on the femoral condyle due to incorrect positioning of the tibial drill hole presumably produced particles that induced synovitis and effusions.
doi_str_mv 10.1016/0749-8063(92)90060-O
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subjects ACL reconstruction
Adolescent
Adult
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries
Arthroscopy - methods
Biological and medical sciences
Effusion
Exudates and Transudates
Female
Follow-Up Studies
Humans
LAD
Male
Medical sciences
Orthopedic surgery
Postoperative Complications - etiology
Postoperative Complications - therapy
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Synovial Membrane - pathology
Synovitis - etiology
Synovitis - pathology
Synovitis - therapy
Tendons - transplantation
Transplantation, Autologous
title Effusions after anterior cruciate ligament reconstruction using the ligament augmentation device
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