{
  "abstract": "The aim of this study is to describe a case of delayed granuloma formation associated with tendon necrosis in response to Ethibond confirmed by histopathological examination and to review and discuss the related literature. A 40-year-old woman underwent a patellar tendon repair with Krakow-like #5 Ethibond sutures. Four years after the repair, she noticed progressive soreness with knee extension and swelling. An ultrasound examination revealed a proximal partial patellar tendon rupture. Based on these findings, the patient was advised to undergo surgical intervention due to a diagnosis of re-rupture. Tendinosis, fibrosis and necrosis scar tissue surrounding the previous suture were observed and excised, and samples were sent for histopathological and microbiological examination. Stripping of the patellar paratenon was performed. Surprisingly, a giant cell foreign body reaction surrounding the synthetic refringent material, as well as polymorphonuclear cells surrounding the necrotic tendon, was reported.",
  "authors": [
    {
      "affiliations": [
        "Orthopedic Surgery, Hospital Universitari i Politecnic La Fe, Valencia, Spain"
      ],
      "name": "Alejandro Blasco"
    },
    {
      "affiliations": [
        "Orthopedic Surgery, Hospital Universitari i Politecnic La Fe, Valencia, Spain"
      ],
      "name": "Emilio Baixauli"
    }
  ],
  "title": "Granuloma formation associated with patellar tendon necrosis in response to Ethibond confirmed by histopathological examination",
  "uid": "151c2ed0-8557-5b34-93e6-d507f4dc4408"
}