Post-ACL Reconstruction Graft Failure in Severe Gout Arthritis Patient

Andri Maruli Tua Lubis, Adisa Yusuf Reksoprodjo, Mohamad Walid Kuncoro, Nadia Nastassia Ifran Department of Orthopedic & Traumatology Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, IndonesiaCorrespondence: Andri Maruli Tua LubisDepartment of Orthopaedic & Traumatology Cipto Mangunkusumo National Central Hospital - Faculty of Medicine Universitas Indonesia, Jl. Diponegoro No. 71, Jakarta, IndonesiaTel +62 816-1177-078Fax +62 21 3905894Email andrilubisresearch@gmail.comIntroduction: Pain and instability following an anterior cruciate ligament (ACL) reconstruction remain a significant issue. Common causes include infection and inflammation, and mechanical issues such as graft failure.Case Presentation: A 36-year-old male with an ACL reconstruction six years prior was admitted due to pain and swelling. The ACL graft that had ruptured was found arthroscopically. Numerous gout crystals and tophus were observed inside. This finding is suggested as a cause of this kind of complication.Discussion: Biological failure is one of the causes of graft failure. Gout arthritis is associated with internal derangement of the joint structures, which is reported in advanced case.Conclusion: Severe gouty arthritis, even though rare, could be an etiology of graft failure following ACL reconstruction and cause significant morbidity.Keywords: ACL reconstruction, graft failure, gout, tophus