Fracture of the tibial tubercle following anterior cruciate ligament reconstruction

Acton, Kerry; Dowd, G.S.E.

doi:10.1016/s0968-0160(01)00138-7

Cited by 7 publications

(4 citation statements)

References 10 publications

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“…The direction of these fractures is through the transosseous tunnels secondary to local stress riser effect. More specifically there have been eight reported cases of condylar or supracondylar femoral fractures occurring in isolation and nine cases of tibial fractures [1,3,6,7,[9][10][11][12][13][14][15][16][18][19][20][21][22]. All the injuries occurred through low energy trauma, except two cases [7,9].…”

Section: Discussionmentioning

confidence: 99%

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An unusual periarticular fracture following ipsilateral anterior cruciate ligament reconstruction

Polyzois¹,

Manidakis²,

Graham³

et al. 2008

Knee Surg Sports Traumatol Arthrosc

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We report an unusual pattern of a peri and intra-articular knee fracture following ACL reconstruction. The pattern of injury was opposite to the graft tunnels which contradicts the well established iatrogenic stress riser theory which has been extensively described in the literature. The fractures were reduced anatomically by open means, the graft was found intact and preserved and the fractures were fixed internally protecting the graft and the tunnels. The patient made an uneventful recovery and the post operative MRI scan 12 months later demonstrated bone healing and an intact ACL. When the ACL graft is found intact in this type of injury, the fracture should be fixed around it taking care not to jeopardize its integrity or the tunnels.

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Section: Discussionmentioning

confidence: 99%

“…All were isolated fractures treated with open reduction and internal fixation and one case only was arthroscopically assisted [13]. In the majority of the above mentioned cases, the bone patella tendon bone autograft (BPTB) was used [1, 3, 6, 10–14, 16, 20–22].…”

Section: Discussionmentioning

confidence: 99%

An unusual periarticular fracture following ipsilateral anterior cruciate ligament reconstruction

Polyzois¹,

Manidakis²,

Graham³

et al. 2008

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

show abstract

“…Peri-articular fractures are an uncommon but devastating complication following ACL reconstruction. Fractures of the patella [ 3 ], tibial plateau [ 4 ], tibial tubercle [ 5 ], supra-condylar femur [ 6 , 7 ], medial femoral condyle [ 8 ], and and lateral femoral condyle [ 9 , 10 , 11 , 12 , 13 ] have been reported after primary and revision ACL reconstruction. Lateral femoral condyle fracture through the femoral tunnel is a rare but reported complication following both primary and revision ACL reconstruction at varied postoperative intervals.…”

Section: Introductionmentioning

confidence: 99%

Arthroscopy Assisted Reduction and Internal Fixation of a Lateral Femoral Condyle Fracture after Anterior Cruciate Ligament Reconstruction with Graft Salvage and Reinforced Suspensory Femoral fixation – A Case Report

Tambe

Kumar

Gnany

et al. 2021

JOCR

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Introduction: Anterior cruciate ligament (ACL) reconstruction using hamstring tendon graft is a commonly performed orthopedic surgery. Lateral femoral condyle fracture through the femoral tunnel is a rare complication following ACL reconstruction. These cases are reported to be managed in two stages, fracture fixation by open reduction and internal fixation with bone grafting of the femoral tunnel, followed by revision ACL reconstruction after the fracture union. Case Report: A 41-year-old male Kabaddi player underwent right knee arthroscopic ACL reconstruction following an ACL tear in January 2021, sustained a road traffic accident 7 weeks later and developed a lateral femoral condyle fracture. The graft was intact and trapped into the fracture site making fracture reduction difficult. The graft was lax due to the fixed loop button being trapped in the fracture. The patient was treated in a single stage by arthroscopy assisted fracture reduction and fixation with ACL graft salvage and reinforced suspensory femoral graft fixation to plate suspensory fixation. Conclusion: This case is a rare presentation of lateral condyle fracture after ACL reconstruction and both the issues are managed in a single stage with the help of detailed surgical planning, using utmost arthroscopy skills and keeping all the options of fixation devices ready on the table during the surgery. Keywords: Anterior cruciate ligament, anterior cruciate ligament reconstruction, lateral femoral condyle fracture.

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“…The problems described during the procedure to reconstruct the anterior cruciate ligament are many and consist of precocious and late fractures of the patella [5], lesions of the patellar tendon following the use of its central one‐third, fracture of the femoral tunnel [7], fracture‐avulsion pattern of the patella and patellar tendon mechanism [6] of the tibial tubercle [1] of the tibial [4] and patellar bony plugs [3]. Patellar bone plug (i.e.…”

Section: Introductionmentioning

confidence: 99%

Intraoperative fracture of patellar bone plug during anterior cruciate ligament reconstruction with bone–patellar tendon–bone: clinical case

Salvi

Metelli

Musella³

2006

Knee Surg Sports Traumatol Arthr

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The authors report the case of intraoperative fracture of the patellar bone plug during an operation to reconstruct an anterior cruciate ligament using bone-patellar tendon-bone. This complication, known among the problems of reconstructing the anterior cruciate ligament, is usually reported when using interference screws to block the plug at the femoral level. In the case, we describe the fracture event occurred using cross-pins. The post-operative 3D radiographic reconstruction permitted precise localisation of the position of the detached bone fragment.

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Fracture of the tibial tubercle following anterior cruciate ligament reconstruction

Cited by 7 publications

References 10 publications

An unusual periarticular fracture following ipsilateral anterior cruciate ligament reconstruction

An unusual periarticular fracture following ipsilateral anterior cruciate ligament reconstruction

Arthroscopy Assisted Reduction and Internal Fixation of a Lateral Femoral Condyle Fracture after Anterior Cruciate Ligament Reconstruction with Graft Salvage and Reinforced Suspensory Femoral fixation – A Case Report

Intraoperative fracture of patellar bone plug during anterior cruciate ligament reconstruction with bone–patellar tendon–bone: clinical case

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