The Journal of Bone and Joint Surgery (American). 2008;90:863-868.
doi:10.2106/JBJS.G.00392
© 2008 The Journal of Bone and Joint Surgery, Inc.
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Arthroscopic Reduction and Internal Fixation of a Medial Femoral Condylar Fracture After Anterior Cruciate Ligament Reconstruction

A Case Report

Corey O. Montgomery, MD, MS1 and Richard P. Evans, MD1

1 Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, 4301 West Markham Street, Slot #531, Little Rock, AR 72205
Investigation performed at the Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas

The first 150 words of the full text of this article appear below.


   Introduction
 
More than 100,000 anterior cruciate ligament reconstruction operations are performed annually in the United States1. Autogenous bone-patellar tendon-bone graft is the most frequent graft option used. The reported prevalence of complications varies widely, and serious complications include infection, stiffness, graft failure, deep venous thrombosis, tendon rupture, osteonecrosis, and periarticular fracture2-6. Periarticular fractures associated with anterior cruciate ligament reconstruction have been reported and include patellar, tibial plateau, tibial tubercle, and lateral femoral condylar and supracondylar femoral fracture patterns. Patellar fracture has been the most commonly documented postoperative fracture complication and occurs in conjunction with the harvesting of autogenous bone-patellar tendon-bone graft7,8. Additionally, eight tibial fractures9-16 and eight lateral condylar or supracondylar femoral fractures associated with anterior cruciate ligament reconstruction have been reported17-24. These fractures occurred through iatrogenic stress-risers25,26 created at the time of reconstruction, and the reported treatment had been arthrotomy with open reduction and internal fixation.

. . . [Full Text of this Article]


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