The Journal of Bone and Joint Surgery, Vol 64, Issue 9 1324-1327, Copyright © 1982 by Journal of Bone and Joint Surgery, Inc
Injuries to the knee ligaments with fractures of the femur
AK Walling, H Seradge and PG Spiegel
Evaluation of twenty-four consecutive patients with fracture of the femoral
shaft showed injuries of the ligaments of the ipsilateral knee in eight (33
per cent) of them. The history was always one of violent injury, but the
examiner had to suspect that this combination of injuries had occurred
simultaneously before a careful local physical examination elicited
diagnostic signs. Then, pin stabilization of the distal part of the femur
with stress radiographs of the knee yielded an early diagnosis. Late
recognition of the combined injuries usually could be documented by
radiographs of the femur and the knee in traction.