Abstract
Few cases have been reported in which the femoral interference screw has migrated into the posterior compartment after an ACL reconstruction. It usually requires removal, because it leads usually to mechanical symptom. However, the arthroscopic removal of a screw is a technically demanding procedure, especially in the case of the femoral interference screw that has migrated into the femoral notch (posterior compartment), an intact integrated ACL graft or one that is encapsulated around the screw. We present a case in which a displaced femoral interference screw migrated within the posterior compartment 11 years postoperatively, after the graft had been incorporated at the femoral site. Although it is often technically challenging, through the use of a posterior trans-septal portal, we can successfully remove a displaced femoral interference screw even in the most difficult locations in the posterior compartment.
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Ahn JH, Ha CW (2000) Posterior trans-septal portal for arthroscopic surgery of the knee joint. Arthroscopy 16:774–779
Berg EE (1996) Autograft bone-patella tendon-bone plug comminution with loss of ligament fixation and stability. Arthroscopy 12:232–235
Boszotta H (1997) Arthroscopic anterior cruciate ligament reconstruction using a patellar tendon graft in press-fit technique: surgical technique and follow-up. Arthroscopy 13:332–339
Bottoni CR, Deberardino TM, Fester EW, Mitchell D,Penrod BJ (2000) An intra-articular bioabsorbable interference screw mimicking an acute meniscal tear 8 months after an anterior cruciate ligament reconstruction. Arthroscopy 16:395–398
Bush-Joseph CA, Bach BR Jr (1998) Migration of femoral interference screw after anterior cruciate ligament reconstruction. Am J Knee Surg 11:32–34
Fahey M, Indelicato PA (1994) Bone tunnel enlargement after anterior cruciate ligament replacement. Am J Sports Med 22:410–414
Hallett A, Mohammed A (2003) Displaced femoral interference screw causing locked knee. Injury 34:797–798
Karlakki SL, Downes ME (2003) Intra-articular migration of femoral interference screw: open or arthroscopic removal. Arthroscopy 19:E19
McGuire DA, Wolchok JC (1997) Consistent and accurate graft passage and interference screw guide wire placement during single incision anterior cruciate ligament reconstruction. Arthroscopy 13:526–529
Pomeroy G, Baltz M, Pierz K, Nowak M, Post W,Fulkerson JP (1998) The effects of bone plug length and screw diameter on the holding strength of bone-tendon-bone grafts. Arthroscopy 14:148–152
Resinger C, Vecsei V, Heinz T, Nau T (2005) The removal of a dislocated femoral interference screw through a posteromedial portal. Arthroscopy 21:1398
Schroeder FJ (1999) Reduction of femoral interference screw divergence during endoscopic anterior cruciate ligament reconstruction. Arthroscopy 15:41–48
Sidhu DS, Wroble RR (1997) Intraarticular migration of a femoral interference fit screw. A complication of anterior cruciate ligament reconstruction. Am J Sports Med 25:268–271
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Ahn, J.H., Lee, S.H. & Ha, H.C. Removal of a femoral interference screw that migrated posteriorly, using a posterior trans-septal portal: a case report. Knee Surg Sports Traumatol Arthrosc 15, 569–572 (2007). https://doi.org/10.1007/s00167-006-0212-9
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DOI: https://doi.org/10.1007/s00167-006-0212-9