Abstract

We describe a case of delayed cyst formation that presented as intermittent knee locking after complicated anterior cruciate ligament (ACL) reconstruction using a Bio-TransFix implant in a 21-year-old male patient. During femoral fixation, we could not pull out the guide wire that was temporarily used for the femoral fixation. However, stability was good, and the guide wire was not removed. This was shown to be a wrong type of fixation in a later study. During follow-up, the patient was satisfied and stability was relatively good until 18 months post-operatively. From the 2nd post-operative year, he experienced intermittent knee swelling and locking and pain around the lateral femoral condyle. Follow-up magnetic resonance imaging showed a large cyst around the broken wire tip, but the reconstructed ACL was fine.

Highlights

  • We describe a case of delayed cyst formation that presented as intermittent knee locking after complicated anterior cruciate ligament (ACL) reconstruction using a Bio-TransFix implant in a 21-year-old male patient

  • We report the cause or tibialis graft in an anterior cruciate ligament (ACL) and mechanism of this complication

  • Strong fixation was obtained using a Bio-TransFix implant intra- A 21-year-old man complained of painful instability in his right operatively, but the guide wire remained because we could not knee for several months after a twisting injury sustained while pull it out

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Summary

Case Report

We describe a case of delayed cyst formation that presented as intermittent knee locking after complicated anterior cruciate ligament (ACL) reconstruction using a Bio-TransFix implant in a 21-year-old male patient. Strong fixation was obtained using a Bio-TransFix implant intra- A 21-year-old man complained of painful instability in his right operatively, but the guide wire remained because we could not knee for several months after a twisting injury sustained while pull it out. This proved to be a wrong type of fixation in a later playing soccer.

TransFix implant was inserted using the appropriate protocol and
Discussion
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