Aseptic arthritis after ACL reconstruction by Tape Locking Screw (TLS®): Report of two cases

Colin, Fabrice; Lintz, François; Bargoin, Kevin; Guillard, Christine; Venet, Guillaume; Tesson, A.

doi:10.1016/j.otsr.2011.08.020

Cited by 5 publications

(3 citation statements)

References 18 publications

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“…Деякі фахівці вважають збільшення тривалості операції та часу знекровлення за допомогою накладання джгута також потенційними факторами ризику розвитку інфекційних ускладнень при пластиці ПХЗ. Дедалі більше досліджень вказують на можливість розвитку реактивного артриту у відповідь на синтетичні матеріали, що застосовуються як трансплантат при пластиці ПХЗ [10,11,12]. Так, є багато повідомлень про високі рівні асептичного синовіту у відповідь на використання протезів ПХЗ із політетрафлуоретилену Gore-Tex (у середньому 26,6%) [12,13,14,15,16,17,18], менше інформації про стерильний синовіт -після застосування поліестерового Dacron -6,3% [19,20,21,22,23], поліпропіленового Kennedy LAD -4,7% [24] та поліпропілену терафталату LARS -0,2% [25].…”

Section: матеріали і методиunclassified

“…У детально описаних двох випадках реактивного артриту у відповідь на поліетиленову стрічку, що використовувалась для натягу трансплантата, процес розпочинався гостро через місяць після пластики ПХЗ, під час повного заглиблення стрічки в кісткові канали. У цих випадках можна було б легко не діагностувати інфекційний артрит, спираючись на терміни після операції, клінічну картину та загальний аналіз крові і рівень СРБ [10]. На це звернули увагу і представники виробника імплантатів у листі до редакції [27].…”

Section: матеріали і методиunclassified

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Differential Diagnosis of Reactive and Infectious Arthritis after Anterior Cruciate Ligament Reconstruction

Kostrub

Котюк²,

Лютко

et al. 2020

HOTP

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Summary. Relevance. Negative results of the anterior cruciate ligament (ACL) reconstruction occur in 10-20% of cases. The incidence of infectious arthritis can reach up to 1.7% and even up to 7.1%, according to the literature. However, ACL reconstruction can be complicated not only by infectious but also by reactive arthritis. Differential diagnosis between infectious and reactive arthritis is often hard to be done, but it is necessary for effective treatment. Objective: to determine the possible causes of the development of reactive and infectious arthritis after ACL reconstruction, peculiarities of their diagnostics and differential diagnostics. Materials and Methods. The literature data regarding the frequency of reactive and infectious arthritis after various methods of surgical treatment of ACL injury and the use of different types of implants, as well as laboratory indicators of the activity of the inflammatory process in the postoperative period and such indicators in reactive and infectious arthritis, were analyzed. We also analyzed literature data on the sensitivity and specificity of various methods of microbiological studies in patients with infectious synovitis or arthritis. Results. Numerous probable causes of a higher incidence of infectious arthritis in ACL reconstruction are suspected. Synthetic implants may be the cause of the development of reactive arthritis, according to a number of studies. Our experience in using different biodegradable fixators from various manufacturers suggest that the percentage of complications depends not only on the fact of the biodegradability of the implant, but on its composition, and even on the percentage of tricalcium phosphate or the manufacturer. Therefore, it is impossible to unambiguously state that biodegradable fixators are worse or better then metallic or non-biodegradable polymeric ones. However, on average, if we consider all existing fixators from various manufacturers, the number of complications when using biodegradable implants is higher. Diagnosis of reactive arthritis is often based on negative bacteriological findings. Given the not always high sensitivity of bacteriological inoculation of synovial fluid and the duration of the investigation, we cannot rely only on its results. Conclusions. The most difficult for differential diagnosis between infectious and reactive arthritis (synovitis) is acute synovitis after ACL reconstruction with normal results of bacteriological studies, but high biochemical parameters of inflammation. We suggest to suspect infectious arthritis after ACL reconstruction in the following hemogram values: 1) CRP >40-50 mg/l, 2) ESR >30-50 mm/h, 3) fibrinogen >800 mg/ml, 4) procalcitonin in blood plasma >0.5 ng/ml, 5) leukocytosis and left shift of the leukocyte formula, with the following synovial fluid test parameters: a) CRP >40-50 mg/l, b) leukocytosis with an increase in the percentage of polymorphonuclear leukocytes >75%.

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Section: матеріали і методиunclassified

Differential Diagnosis of Reactive and Infectious Arthritis after Anterior Cruciate Ligament Reconstruction

Kostrub

Котюк²,

Лютко

et al. 2020

HOTP

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“…The proposed benefits of this technique include requiring only a single hamstring tendon which can be passed through smaller bone tunnels [9]. It has also been suggested that the dedicated interference screw gains better traction against the PET strip compared to soft tissue graft, which may reduce slippage of the graft-tape construct [10]. Finally, the technique involves fixing the graft in near-full knee extension which theoretically reduces risk of over-constraint [11].…”

Section: Introductionmentioning

confidence: 99%

The effect of short-graft preparation with tape suspension and screw fixation on loss of knee extension following anterior cruciate ligament reconstruction: A retrospective cross-sectional analysis of public hospital cases from 2015 - 2017

Jegatheesan

Scholes²,

Tuckerman

et al. 2020

Preprint

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Background: The Tape Locking Screw (TLS®) system for anterior cruciate ligament reconstruction (ACLR) is an emerging short graft with tape suspension (SGTS) technique which uses a single hamstring tendon with tape suspension and dedicated interference screw fixation. Few studies have examined the SGTS technique versus other techniques. The objective of this study was to compare LOE in patients undergoing ACLR with the SGTS technique with other ACLR techniques. We hypothesised that the SGTS technique would be superior to others in terms of minimising LOE. Materials and methods: We retrospectively reviewed 138 patients who received primary ACLR between January 2015 and December 2017 and had elected to participate in a rehabilitation program with the hospital physiotherapy department had postoperative knee extension assessed. Patients were followed up by a department physiotherapist until baseline function was achieved. Patients were grouped as having either SGTS ACLR or non-SGTS ACLR during chart review and compared for LOE at initial assessment and when the maximum extension had been achieved. Results: There were 44 patients in the SGTS group and 94 patients in the non-SGTS group. The SGTS group had a significantly larger median graft diameter (8.5mm vs. 8.0mm, P <0.001) and less incidence of notchplasty (17.8% vs. 44.7%, P <0.001). LOE incidence was significantly associated with the use of notchplasty and graft type at initial assessment. At the time of maximum extension, LOE incidence was significantly associated with LOE at initial assessment, graft size, graft type and lateral meniscus injury. Time to maximum extension was significantly associated with the presence of LOE at initial assessment. Conclusion: In this retrospective analysis, the SGTS technique was not inferior to other ACLR techniques with respect to postoperative loss of extension. Longer time to achieve full extension in the SGTS group was not considered clinically significant. Further studies are needed to assess longer term success and functional outcomes.

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Anterior cruciate ligament reconstruction with a single hamstring tendon graft and tape locking screw (TLS) fixation leads to good clinical outcome in two years of follow-up

Metso,

Bister,

Harilainen

et al. 2024

Journal of Orthopaedics

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Aseptic arthritis after ACL reconstruction by Tape Locking Screw (TLS®): Report of two cases

Cited by 5 publications

References 18 publications

Differential Diagnosis of Reactive and Infectious Arthritis after Anterior Cruciate Ligament Reconstruction

Differential Diagnosis of Reactive and Infectious Arthritis after Anterior Cruciate Ligament Reconstruction

The effect of short-graft preparation with tape suspension and screw fixation on loss of knee extension following anterior cruciate ligament reconstruction: A retrospective cross-sectional analysis of public hospital cases from 2015 - 2017

Anterior cruciate ligament reconstruction with a single hamstring tendon graft and tape locking screw (TLS) fixation leads to good clinical outcome in two years of follow-up

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