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Chondrolysis of the Tibial Plateau Caused by Articular Aspergillosis After ACL Autograft Reconstruction: Management with a Fresh Osteochondral AllograftA Case Report
Tomasz T. Antkowiak, MD1; Christopher R. Polage, MD2; Jean A. Wiedeman, MD3; John P. Meehan, MD1; Amir A. Jamali, MD4
1 Department of Orthopaedic Surgery, UC Davis Medical Center, 4860 Y Street, Suite 3800, Sacramento, CA 95817
2 Department of Pathology and Laboratory Medicine, UC Davis Medical Center, Specialty Testing Center, 3740 Business Drive, Sacramento, CA 95820
3 Department of Pediatrics, UC Davis Medical Center, 2521 Stockton Boulevard, Sacramento, CA 95817
4 Joint Preservation Institute, 2825 J Street, #440, Sacramento, CA 95816. E-mail address: contactus@jointpreservationinstitute.com
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Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

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Investigation performed at UC Davis Medical Center, Sacramento, California

Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 Nov 02;93(21):e124 1-6. doi: 10.2106/JBJS.J.00782
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Extract

Arthroscopically assisted reconstruction of the anterior cruciate ligament (ACL) is a common and effective method for treatment of anterior knee instability following ACL injury. Annually, an estimated 250,000 ACL injuries are diagnosed and approximately 100,000 ACL reconstructions are performed in the United States1-3. Chondrolysis is an extremely rare but devastating complication following ACL reconstruction. It is characterized by complete destruction of the articular cartilage and a profound inflammatory response consisting of pain, swelling, and loss of joint motion. The differential diagnosis includes osteonecrosis, direct trauma related to the injury or to the surgical procedure, infection, an adverse reaction to pharmacological agents (including local anesthetic infusions), and unknown causes.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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