{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:10:05Z","timestamp":1756372205523,"version":"3.44.0"},"reference-count":18,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,8,21]]},"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p>Postoperative reaction and infection after anterior cruciate ligament (ACL) reconstruction is a rare complication. We report two cases of bioabsorbable screw extrusion and <jats:italic>Pseudomonas aeruginosa<\/jats:italic> tibial tunnel infection in 17\/18-year-old men, 2 and 4\u2009years after ACL reconstruction, respectively. They underwent tibial tunnel debridement, removal of the still intact poly-L-D-lactic acid bioabsorbable screw and subsequent wound closure. Physical examination findings confirmed patency of the hamstring graft. Culture guided antibiotics were completed, and wounds healed unremarkably. Both returned to previous level of activity. Successful treatment is achieved through a logical sequence of management, as well as a multidisciplinary approach to prevent unnecessary secondary procedures and morbidity.<\/jats:p>","DOI":"10.1136\/bcr-2019-229927","type":"journal-article","created":{"date-parts":[[2019,9,19]],"date-time":"2019-09-19T07:25:14Z","timestamp":1568877914000},"page":"e229927","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Delayed onset bioabsorbable screw reaction, intact screw extrusion and <i>Pseudomonas aeruginosa<\/i> tibial tunnel osteomyelitis years after arthroscopic anterior cruciate ligament reconstruction using hamstring graft"],"prefix":"10.1136","volume":"12","author":[{"given":"Patricio III Espinoza","family":"Dumlao","sequence":"first","affiliation":[{"name":"Department of Orthopedics, University of the Philippines Manila, Ermita, Manila, Metro Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilo","family":"Paner","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of the Philippines Manila, Ermita, Manila, Metro Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lyndon","family":"Bathan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of the Philippines Manila, Ermita, Manila, Metro Manila, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan Albert","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Infectious Disease Service, Philippine General Hospital, University of the Philippines, Manila CIty, Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,9,18]]},"reference":[{"key":"2025082801292107000_12.9.e229927.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2008.06.001"},{"key":"2025082801292107000_12.9.e229927.2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2414-2"},{"key":"2025082801292107000_12.9.e229927.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2013.07.011"},{"key":"2025082801292107000_12.9.e229927.4","doi-asserted-by":"publisher","DOI":"10.1177\/1941738113489099"},{"key":"2025082801292107000_12.9.e229927.5","first-page":"82","article-title":"Knee infection after Anterior Cruciate Ligament reconstruction","volume":"3","author":"Vasquez","year":"2018","journal-title":"EMJ"},{"key":"2025082801292107000_12.9.e229927.6","unstructured":"Haragus H , L\u0103zureanu V , Prejbeanu R , et al . Painful pretibial cyst with bioabsorbable poly-L-lactic acid screw migration 4 years after anterior cruciate ligament reconstruction. 2015;66:1655\u20138."},{"issue":"1-2","key":"2025082801292107000_12.9.e229927.7","first-page":"47","article-title":"[MRI in ACL reconstructive surgery with PDLLA bioabsorbable interference screws: evaluation of degradation and osteointegration processes of bioabsorbable screws]","volume":"107","author":"Macarini","year":"2004","journal-title":"Radiol Med"},{"key":"2025082801292107000_12.9.e229927.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.12.032"},{"issue":"Suppl 2","key":"2025082801292107000_12.9.e229927.9","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/S0020-1383(02)00128-6","article-title":"Biodegradable implants in soft tissue refixation: Experimental evaluation, clinical experience, and future needs","volume":"33","author":"S\u00fcdkamp","year":"2002","journal-title":"Injury"},{"key":"2025082801292107000_12.9.e229927.10","doi-asserted-by":"publisher","DOI":"10.1023\/B:ABME.0000007802.59936.fc"},{"key":"2025082801292107000_12.9.e229927.11","doi-asserted-by":"publisher","DOI":"10.1016\/0196-6553(94)90086-8"},{"key":"2025082801292107000_12.9.e229927.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.12.002"},{"key":"2025082801292107000_12.9.e229927.13","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1302\/0301-620X.71B3.2722961","article-title":"Septic arthritis following arthroscopy and intraarticular steroids","volume":"71","author":"Montgomery","year":"1989","journal-title":"J Bone Joint Surg Br"},{"key":"2025082801292107000_12.9.e229927.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.10.002"},{"key":"2025082801292107000_12.9.e229927.15","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500222"},{"key":"2025082801292107000_12.9.e229927.16","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.ijscr.2012.10.020","article-title":"Osteomyelitis of the tibia following anterior cruciate ligament reconstruction","volume":"4","author":"O\u2019Neill","year":"2013","journal-title":"International Journal of Surgery Case Reports"},{"key":"2025082801292107000_12.9.e229927.17","first-page":"1","article-title":"Delayed Tibial Osteomyelitis after Anterior Cruciate Ligament Reconstruction with Hamstrings Autograft and Bioabsorbable Interference Screw: A Case Report and Review of the Literature","volume":"2017","author":"Weiss","year":"2017","journal-title":"Case Rep Orthop"},{"key":"2025082801292107000_12.9.e229927.18","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1016\/j.jinf.2017.06.006","article-title":"Successful treatment of Pseudomonas aeruginosa osteomyelitis with antibiotic monotherapy of limited duration","volume":"75","author":"Laghmouche","year":"2017","journal-title":"J Infect"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-229927","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:29:28Z","timestamp":1756369768000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-229927"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9]]},"references-count":18,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2019,9,18]]},"published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.1136\/bcr-2019-229927"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-229927","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,9]]}}}