Migration of ACL graft fixation screws

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Knee pain and locking.

Patient Data

Age: 60 years
Gender: Male

The femoral fixation screw has migrated out of its osseous tunnel and lies posterior to the femur. 

The tibial fixation screw has migrated medially and posteriorly out its osseous tunnel but remains intraosseous. 

Background changes of osteoarthritis, predominantly affecting the medial tibiofemoral compartment. 

Case Discussion

Migration or failure of fixation materials is a common complication of ACL repair. 

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