TY - JOUR
T1 - Myxoid Tumor Associated to Migration of a Suspensory Fixation Device of a Reconstructed Anterior Cruciate Ligament: A Case Report
AU - Gelber, Pablo Eduardo
AU - Monllau, Juan Carlos
AU - Gelber, Pablo Eduardo
AU - Erquicia, Juan Ignacio
AU - Pelfort, Xavier
AU - Tey, Marc
AU - Monllau, Juan Carlos
PY - 2012/1/1
Y1 - 2012/1/1
N2 - A 16-year-old male who had undergone 6 months before an anterior cruciate ligament (ACL) reconstruction with an autologous hamstring graft fixed with a suspensory fixation device (XoButton device; ConMed Linvatec, Largo, FL), complained of a slightly painful mass in the distal posterolateral aspect of the thigh. The knee was otherwise stable. A 79 × 60 × 17 mm multilobulated tumor surrounding the implant device was observed in magnetic resonance images. The revision arthroscopy showed an intact ACL graft. The tumor was excised through a longitudinal posterolateral approach. It had a myxoid appearance. The undamaged implant was also removed. Two months after surgery, the patient was already asymptomatic. Althoughmost fixation device problems occur in the perioperative period due to an inadequate technique which may lead to graft instability, this case reminds clinicians of the possibility of later developing clinically relevant complications with suspensory fixation devices. © 2012, Thieme Medical Publishers. All rights reserved.
AB - A 16-year-old male who had undergone 6 months before an anterior cruciate ligament (ACL) reconstruction with an autologous hamstring graft fixed with a suspensory fixation device (XoButton device; ConMed Linvatec, Largo, FL), complained of a slightly painful mass in the distal posterolateral aspect of the thigh. The knee was otherwise stable. A 79 × 60 × 17 mm multilobulated tumor surrounding the implant device was observed in magnetic resonance images. The revision arthroscopy showed an intact ACL graft. The tumor was excised through a longitudinal posterolateral approach. It had a myxoid appearance. The undamaged implant was also removed. Two months after surgery, the patient was already asymptomatic. Althoughmost fixation device problems occur in the perioperative period due to an inadequate technique which may lead to graft instability, this case reminds clinicians of the possibility of later developing clinically relevant complications with suspensory fixation devices. © 2012, Thieme Medical Publishers. All rights reserved.
KW - Anterior cruciate ligament complication
KW - Anterior cruciate ligament failure
KW - Anterior cruciate ligament fixation
KW - Graft fixation
KW - XoButton
U2 - 10.1055/s-0031-1299649
DO - 10.1055/s-0031-1299649
M3 - Article
VL - 26
SP - S50-S52
JO - Journal of Knee Surgery
JF - Journal of Knee Surgery
SN - 1538-8506
ER -