Anterior cruciate ligament reconstruction in a patient who has received systemic steroids for autoimmune disease

Research output: Contribution to journalArticle

Abstract

Background An anterior cruciate ligament (ACL) reconstruction has become more common and the surgical morbidity has decreased, it has been performed not only in younger people to play sports but also middle-aged people, with satisfactory results. Therefore, some patients might have comorbidities for which they take medicines. Especially the medicines, such as systemic steroids, might influence the reconstructed ligament strength and durability. Case report A 49-year-old woman who was taking oral steroids for autoimmune hepatitis suffered a spontaneous ACL injury. She complained of unstable symptoms in the knee despite initial conservative treatment. Then, she was treated operatively with autologous hamstring tendon grafts. Three years postoperatively, her knee remained stable with 1.8 mm side-to-side difference on a Kneelax arthrometer and with 1.6 mm on anterior stress radiographs. There was no rerupture or instability. Conclusion The patient who had received systemic steroids for a long time recovered satisfactorily after the operation, with achievement of knee stability and possibility to prevent degenerative change in the knee joint. ACL reconstruction should be considered even in patients with such medication.

Original languageEnglish
Pages (from-to)12-14
Number of pages3
JournalAsia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology
Volume11
DOIs
Publication statusPublished - Jan 2018

Fingerprint

Anterior Cruciate Ligament Reconstruction
Autoimmune Diseases
Knee
Steroids
Autoimmune Hepatitis
Knee Joint
Ligaments
Sports
Comorbidity
Morbidity
Transplants

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

@article{4bba218224714d6fab74fd299f9e14e0,
title = "Anterior cruciate ligament reconstruction in a patient who has received systemic steroids for autoimmune disease",
abstract = "Background An anterior cruciate ligament (ACL) reconstruction has become more common and the surgical morbidity has decreased, it has been performed not only in younger people to play sports but also middle-aged people, with satisfactory results. Therefore, some patients might have comorbidities for which they take medicines. Especially the medicines, such as systemic steroids, might influence the reconstructed ligament strength and durability. Case report A 49-year-old woman who was taking oral steroids for autoimmune hepatitis suffered a spontaneous ACL injury. She complained of unstable symptoms in the knee despite initial conservative treatment. Then, she was treated operatively with autologous hamstring tendon grafts. Three years postoperatively, her knee remained stable with 1.8 mm side-to-side difference on a Kneelax arthrometer and with 1.6 mm on anterior stress radiographs. There was no rerupture or instability. Conclusion The patient who had received systemic steroids for a long time recovered satisfactorily after the operation, with achievement of knee stability and possibility to prevent degenerative change in the knee joint. ACL reconstruction should be considered even in patients with such medication.",
author = "Tetsuro Ushio and Ken Okazaki and Hideki Mizu-uchi and Satoshi Hamai and Yukio Akasaki and Yasuharu Nakashima",
year = "2018",
month = "1",
doi = "10.1016/j.asmart.2017.11.003",
language = "English",
volume = "11",
pages = "12--14",
journal = "Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology",
issn = "2214-6873",
publisher = "Elsevier (Singapore) Pte Ltd",

}

TY - JOUR

T1 - Anterior cruciate ligament reconstruction in a patient who has received systemic steroids for autoimmune disease

AU - Ushio, Tetsuro

AU - Okazaki, Ken

AU - Mizu-uchi, Hideki

AU - Hamai, Satoshi

AU - Akasaki, Yukio

AU - Nakashima, Yasuharu

PY - 2018/1

Y1 - 2018/1

N2 - Background An anterior cruciate ligament (ACL) reconstruction has become more common and the surgical morbidity has decreased, it has been performed not only in younger people to play sports but also middle-aged people, with satisfactory results. Therefore, some patients might have comorbidities for which they take medicines. Especially the medicines, such as systemic steroids, might influence the reconstructed ligament strength and durability. Case report A 49-year-old woman who was taking oral steroids for autoimmune hepatitis suffered a spontaneous ACL injury. She complained of unstable symptoms in the knee despite initial conservative treatment. Then, she was treated operatively with autologous hamstring tendon grafts. Three years postoperatively, her knee remained stable with 1.8 mm side-to-side difference on a Kneelax arthrometer and with 1.6 mm on anterior stress radiographs. There was no rerupture or instability. Conclusion The patient who had received systemic steroids for a long time recovered satisfactorily after the operation, with achievement of knee stability and possibility to prevent degenerative change in the knee joint. ACL reconstruction should be considered even in patients with such medication.

AB - Background An anterior cruciate ligament (ACL) reconstruction has become more common and the surgical morbidity has decreased, it has been performed not only in younger people to play sports but also middle-aged people, with satisfactory results. Therefore, some patients might have comorbidities for which they take medicines. Especially the medicines, such as systemic steroids, might influence the reconstructed ligament strength and durability. Case report A 49-year-old woman who was taking oral steroids for autoimmune hepatitis suffered a spontaneous ACL injury. She complained of unstable symptoms in the knee despite initial conservative treatment. Then, she was treated operatively with autologous hamstring tendon grafts. Three years postoperatively, her knee remained stable with 1.8 mm side-to-side difference on a Kneelax arthrometer and with 1.6 mm on anterior stress radiographs. There was no rerupture or instability. Conclusion The patient who had received systemic steroids for a long time recovered satisfactorily after the operation, with achievement of knee stability and possibility to prevent degenerative change in the knee joint. ACL reconstruction should be considered even in patients with such medication.

UR - http://www.scopus.com/inward/record.url?scp=85036560471&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85036560471&partnerID=8YFLogxK

U2 - 10.1016/j.asmart.2017.11.003

DO - 10.1016/j.asmart.2017.11.003

M3 - Article

AN - SCOPUS:85036560471

VL - 11

SP - 12

EP - 14

JO - Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology

JF - Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology

SN - 2214-6873

ER -