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Revista Brasileira de Ortopedia
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Revista Brasileira de Ortopedia
Article . 2017
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Migração extra‐articular e transcutânea de parafuso de interferência de poly L,D‐lactide após reconstrução do tendão poplíteo

Authors: Helito, Camilo Partezani; Foni, Noel O.; Bonadio, Marcelo Batista; Pécora, José Ricardo; Demange, Marco Kawamura; Angelini, Fabio Janson;

Migração extra‐articular e transcutânea de parafuso de interferência de poly L,D‐lactide após reconstrução do tendão poplíteo

Abstract

ResumoAs reconstruções ligamentares do joelho são procedimentos ortopédicos frequentes. As fixações dos enxertos são mais comumente feitas com parafusos de interferência, metálicos ou absorvíveis. Em estudo recente, somente dez relatos sobre migração de parafusos foram encontrados; somente um deles não estava relacionado ao ligamento cruzado anterior (LCA) e a maioria estava relacionada a parafusos de poly‐L‐lactic acid (PLLA). Apenas um caso da literatura reportou migração de parafuso em reconstruções do canto posterolateral, essa para a região intra‐articular. Neste artigo, os autores relatam um caso de migração extra‐articular e transcutânea de um parafuso de interferência de poly L,D‐lactide (PDLLA) após a reconstrução do tendão poplíteo. Além de ser o primeiro caso de reconstrução do tendão do poplíteo com migração extra‐articular do parafuso, não foram encontrados na literatura relatos de migração de parafusos de PDLLA.AbstractKnee ligament reconstructions are commonly performed orthopedic procedures. Graft fixation is generally performed with metal or absorbable interference screws. In a recent study, only ten reports of screw migration were retrieved; of these, only one was not related to the anterior cruciate ligament, and the majority was related to the use of poly‐L‐lactic acid (PLLA) screws. Only one case retrieved in the literature reported screw migration in reconstructions of the posterolateral corner, and that was to the intra‐articular region. In the present article, the authors report a case of extra‐articular and transcutaneous migration of a poly‐L/D‐lactide (PDLLA) interference screw following popliteal tendon reconstruction. Besides being the first case of popliteal tendon migration with extra‐articular screw migration, no reports of PDLLA screw migration were retrieved in the literature.

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Keywords

Tendon injuries, Bones screws, Minimally invasive surgical procedures, Parafusos ósseos, Anterior cruciate ligament reconstruction, Procedimentos cirúrgicos minimamente invasivos, Surgery, Reconstrução do ligamento cruzado anterior, Traumatismos dos tendões

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
gold