JBJS | Arthroscopic Reduction and Internal Fixation of a Medial Femoral Condylar Fracture After Anterior Cruciate Ligament Reconstruction: A Case Report

The Journal of Bone & Joint Surgery, Volume 90, Issue 4

Case Reports | April 01, 2008

Arthroscopic Reduction and Internal Fixation of a Medial Femoral Condylar Fracture After Anterior Cruciate Ligament Reconstruction: A Case Report

Corey O. Montgomery, MD, MS¹; 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

The Journal of Bone & Joint Surgery. 2008; 90:863-868 doi:10.2106/JBJS.G.00392

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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 fracture^2-6. 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 graft^7,8. Additionally, eight tibial fractures^9-16 and eight lateral condylar or supracondylar femoral fractures associated with anterior cruciate ligament reconstruction have been reported^17-24. These fractures occurred through iatrogenic stress-risers^25,26 created at the time of reconstruction, and the reported treatment had been arthrotomy with open reduction and internal fixation.

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fracture fixation, internal ; femoral fractures, condylar ; anterior cruciate ligament reconstruction ; fracture ; femur

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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