Document Title: Patton-AJSM-May00

Article Title: Periarticular heterotopic ossification after multiple knee ligament reconstructions: A report of three cases

Authors: W. Christopher Patton; W. Michael Tew.

Publication: The American Journal of Sports Medicine

ISSN: 03635465

Date: May-June 2000.

(Figures included. Reference-denoting numbers appear in the same point size as document text.)

Volume: 28

Issue: 3

Pages: 398-401

Key Words: Knee, ossification, multiple-ligament reconstruction.

 

This article looks at the problems of unwanted lamellar-bone growth and arthrofibrosis in knees that have endured multiple traumas requiring more than one ligament reconstruction (and in which one of the reconstructed ligaments was the PCL). All three cases discussed herein were motor-vehicle-type traumatic incidents. The ghastly severity of automobile-related injuries only serves to underscore the fundamental physical principle that kinetic energy increases with the square of speed.

 

ABSTRACT

 

Heterotopic ossification is a well-recognized and frequently encountered entity in orthopaedics. The formation of lamellar bone in traumatized soft tissues occurred in 90% of patients (63 of 70) undergoing hip hemiarthroplasty10 and in 90% of patients (18 of 20) undergoing open reduction and internal fixation of acetabular fractures.1  Ogilvie-Harris and Sekyi-Otu9 described four cases of heterotopic ossification requiring surgical intervention after arthroscopic ACL reconstruction. We present three cases of posterior capsular heterotopic ossification after knee dislocations in which the PCL was one of the reconstructed structures.

 

Main Text

 

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