RESUMEN
Transient laxity in association with pregnancy of the native anterior cruciate ligament has been previously documented. This phenomenon has only been previously reported in one case of ACL reconstruction, but it has been recommended that patients that become pregnant soon after surgery should be closely observed. We report three cases of pregnancy in relation to primary ACL reconstruction with no obvious adverse outcomes observed on objective assessments. We also report one case of revision ACL reconstruction during pregnancy with a good clinical outcome. We suggest that any hormonal effects on ACL reconstruction during pregnancy, if they do occur, are likely to be very transient and of doubtful clinical impact. In addition, we feel that pregnancy should not be regarded as an orthopaedic contraindication to ACL reconstruction surgery.
Asunto(s)
Ligamento Cruzado Anterior/cirugía , Embarazo , Adulto , Lesiones del Ligamento Cruzado Anterior , Plastía con Hueso-Tendón Rotuliano-Hueso , Femenino , Humanos , Inestabilidad de la Articulación/cirugía , Articulación de la Rodilla/cirugía , Reoperación , Resultado del TratamientoRESUMEN
Compartment syndrome of the newly discovered calcaneal compartment of the foot is a theoretical possibility following tibial fracture due to the communication with the deep posterior compartment of the calf. Forty-nine patients were reviewed at least 18 months after open or closed tibial shaft fractures treated with tibial nailing in order to determine the prevalence of foot deformities secondary to previously undetected calcaneal or leg compartment syndromes. Ankle movements, foot height, length of feet and degree of clawing of the toes were all measured and compared with the unaffected opposite side. None of the patients complained of any symptoms from their feet and none had any significant foot deformities. Calcaneal compartment syndrome is rare after tibial fracture and routine measurement of calcaneal compartment pressures after such injuries is not indicated.