Foreign Body Reaction After PLC Reconstruction Caused by a Broken PLLA Screw
- Authors
- Kim, Tae-Kwon; Jeong, Tae-Wan; Lee, Dae-Hee
- Issue Date
- 12월-2014
- Publisher
- SLACK INC
- Citation
- ORTHOPEDICS, v.37, no.12, pp.E1129 - E1132
- Indexed
- SCIE
SCOPUS
- Journal Title
- ORTHOPEDICS
- Volume
- 37
- Number
- 12
- Start Page
- E1129
- End Page
- E1132
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/96644
- DOI
- 10.3928/01477447-20141124-91
- ISSN
- 0147-7447
- Abstract
- Foreign body reactions may occur in patients who receive bioabsorbable implants during orthopedic surgery for fractures and ligament repair. The authors describe a 34-year-old man who presented with a palpable tender mass on the lateral aspect of the left knee of 1 month's duration. He underwent posterior cruciate ligament and posterolateral corner reconstruction 3 years earlier. Physical examination showed a 1x1-cm soft, nontender mass without localized warmth on the lateral epicondyle of the distal femur. Magnetic resonance imaging showed a broken screw fragment surrounded by a cyst-like mass. Under general anesthesia, the surgeon excised the screw fragment and the fibrotic mass, enclosing it in the subcutaneous tissue at the lateral epicondyle, the site at which a poly-L-lactic acid bioabsorbable screw had been inserted to fix the graft for posterolateral corner reconstruction. Histologic evaluation showed a foreign body reaction to the degraded screw particles. To the authors' knowledge, this report is the first description of a patient presenting with a delayed foreign body reaction to a broken poly-L-lactic acid bioabsorbable screw at the lateral femoral epicondyle after posterolateral corner reconstruction. Because delayed foreign body reactions can occur at any site of poly-L-lactic acid bioabsorbable screw insertion, care should be taken to avoid screw protrusion during ligament reconstruction because it can lead to screw breakage and delayed foreign body reaction.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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