Intraoperative Incidents and Complications in Primary Arthroscopic Anterior Cruciate Ligament Reconstruction

Almazán, Arturo; Miguel, Amezcua; Odor, Alberto M; Ibarra, José Clemente

doi:10.1016/j.arthro.2006.06.019

Cited by 62 publications

(25 citation statements)

References 43 publications

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“…5 Instrument breakage can occur at any stage of the surgery but commonly occurs during tunnel placement/drilling and graft fixation steps. [1][2][3] Although broken instruments during ACL reconstruction surgery are not uncommon and a few reports have been published, [1][2][3] to the best of our knowledge, only one case of broken drill bit has been mentioned in the literature. 4 Miller reported a case of broken endobutton drill bit during ACL reconstruction using a semitendinosus-gracilis autograft (STG) which was left in place, as it did not appear likely to migrate or to affect graft fixation.…”

Section: Discussionmentioning

confidence: 99%

“…3 Almazan et al analysed intra-operative incidents and complications in a series of 426 arthroscopic ACL reconstructions performed over a period of 6 years and described just two cases of instrument breakage -a broken screwdriver and a broken bioabsorbable screw. 1 From 1992 to 2015, more than 3000 ACL reconstructions have been performed by our group in our institute among which we have had only 4 other incidents of broken instrumentation, which are 3 biodegradable screws and 1 scissor. This accounts for less than 0.17% of the cases operated by our team which highlights the rarity of this incident.…”

Section: Discussionmentioning

confidence: 99%

“…1 This surgery is a technically challenging and is often associated with many complications. Although post-operative complications have been described in great detail, data on intra-operative complications is relatively sparse.…”

Section: Introductionmentioning

confidence: 99%

“…Although post-operative complications have been described in great detail, data on intra-operative complications is relatively sparse. 1 Instrument breakage during arthroscopic knee surgeries is considered a relatively common occurrence due to the delicate arthroscopic instrumentation, limited manoeuvring space, inappropriate instrument selection, incorrect surgical techniques and overuse of worn out instruments being the most common underlying reasons. [1][2][3] However, after extensively reviewing the available literature, we could not find any case report mentioning a broken drill bit during arthroscopic ACL reconstruction using bone patellar tendon bone graft (BPTB graft) and interference screw fixation technique.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Drill bit failure and retrieval during arthroscopic ACL reconstruction

Dhillon

John

Prabhakar

et al. 2016

Journal of Clinical Orthopaedics and Trauma

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Drill bit failure and retrieval during arthroscopic ACL reconstruction

Dhillon

John

Prabhakar

et al. 2016

Journal of Clinical Orthopaedics and Trauma

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“…Incidence of patellar fracture while harvesting patellar tendon is reported to be 0.2%-2.3%. 9,10 In our study it was found to be 2.8%, (one case) which was managed by fixation with 4.5 mm cancellous screw and healed well eventually.…”

Section: A B Shinde Gm Et Al Int J Res Orthop 2018 Jan;4(1):33-37mentioning

confidence: 96%

Comparative study of complications and final outcome between bone patellar tendon bone and hamstring auotgraft in ACL reconstruction

et al. 2017

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Background: The most common current graft choices in ACL reconstruction are the bone-patellar tendon–bone (BPTB) graft and the quadrupled Hamstring graft. Though BPTB is considered to be the gold standard; hamstring tendon (HT) grafts have increased in popularity over last decade. Our aim in this study is to assess the complications, comorbidities, difficulties and final outcome between BPTB and Hamstring grafts in ACL reconstruction.Methods: 71 male patients with isolated tear of ACL between age group of 18-45 years were included in the study. 35 patients in group A underwent ACL reconstruction using bone patellar tendon bone autograft and 35 patients in group B were managed by reconstructing ACL using quadrupled Hamstring autograft. All the patients in both the groups were followed up at 08 weeks,06 months and 01 year post surgery and evaluated by Lysholm knee scoring system.Results: The Lysholm scoring scale scores in anterior cruciate ligament reconstruction showed that BPTB group and Hamstring group have similar outcome. One case (2.8%) each of patellar fracture and graft contamination occurred in BPTB group. There were 09 cases of superficial infection of which 03 were from BPTB group and 06 were from Hamstring group. Conclusions: There is statistically no significant difference in the overall clinical outcome between bone-patellar tendon- bone and Hamstring autografts. With precise surgical techniques, meticulous attention to sterility and proper wound closure most of the complications in both the techniques can be minimized or avoided.

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Accessory bands of the hamstring tendons: A clinical anatomical study

et al. 2010

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Gracilis and semitendinosus tendons are commonly used as grafts in ligamentous reconstruction. Awareness of accessory bands of these tendons is essential in preventing inadvertent diversion of the tendon harvester into the main tendon resulting in premature tendon amputation and inadequate tendon graft. The aim of this study was to describe the characteristics of these accessory bands. Twenty five patients undergoing arthroscopic anterior cruciate ligament reconstruction using hamstring tendons were included. The number of accessory bands and distance of the most proximal band from the distal periosteal insertion point on the tibial crest was recorded for both gracilis and semitendinosus. In most cases gracilis had two accessory bands; the average distance of the most proximal band from the tibial crest insertion being 5.1 cm. Semitendinosus had three bands in most cases, the average distance of the most proximal band from the tibial crest insertion being 8.1 cm. Five (20%) semitendinosus but no gracilis tendons had an accessory band originating greater than 10 cm from the tibial crest insertion. Semitendinosus had more accessory bands compared to gracilis. A significant proportion (20%) of semitendinosus and none of the gracilis tendons had bands originating greater than 10 cm proximal to the tibial crest insertion. This knowledge about the accessory bands of the hamstrings can guide toward safe harvesting of these tendons.

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Intraoperative Incidents and Complications in Primary Arthroscopic Anterior Cruciate Ligament Reconstruction

Cited by 62 publications

References 43 publications

Drill bit failure and retrieval during arthroscopic ACL reconstruction

Drill bit failure and retrieval during arthroscopic ACL reconstruction

Comparative study of complications and final outcome between bone patellar tendon bone and hamstring auotgraft in ACL reconstruction

Accessory bands of the hamstring tendons: A clinical anatomical study

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