The optimal operative management of anterior cruciate ligament (ACL) injury continues to be debated. Many complications can occur, but fracture is often not routinely discussed. We present a complex intra-articular tibia fracture in a patient who had an autologous, ipsilateral bone-patellar-bone ACL reconstruction. While still advocating early, aggressive physical therapy, this case reminds us of the inherent susceptibility to injury in the immediate post-operative period.
FreedmanKBD'AmatoMJNedeffDDArthroscopic anterior cruciate ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring tendon autograftsAm J Sports Med2003312–11
2.
GoldblattJPFitzsimmonsSEBalkEReconstruction of the anterior cruciate ligament: meta-analysis of patellar tendon versus hamstring tendon autograftArthroscopy200521791–80310.1016/j.arthro.2005.04.107
3.
NoyesFRButlerDLGroodESBiomechanical analysis of human ligament grafts used in knee-ligament repairs and reconstructionsJ Bone Joint Surg Am198466344–352
4.
DelcoglianoAChiossiSCaporasoAA tibial plateau fracture after arthroscopic anterior cruciate ligament reconstructionArthroscopy200117E1610.1053/jars.2001.19450
5.
el-HageZMMohammedAGriffithsDTibial plateau fracture following allograft anterior cruciate ligament (ACL) reconstructionInjury19982973–7410.1016/S0020-1383(97)00130-7
6.
MithoferKGillTVrahasMTibial plateau fracture following anterior cruciate ligament reconstructionKnee Surg Trauma200412325–328
7.
MoenKYBoyntonMDRaaschWGFracture of the proximal tibia after anterior cruciate ligament reconstruction: a case reportAm J Orthop199827629–630
SundaramROCohenDBarton-HansonNTibial plateau fracture following gracilis-semitendinosus anterior cruciate ligament reconstruction: The tibial tunnel stress-riserKnee200613238–24010.1016/j.knee.2005.08.009
10.
ThaunatMNourissatGGaudinPTibial plateau fracture after anterior cruciate ligament reconstruction: Role of the interference screw resorption in the stress riser effectKnee200613241–24310.1016/j.knee.2006.02.001
11.
WilsonTCRosenblumWJJohnsonDLFracture of the femoral tunnel after an anterior cruciate ligament reconstructionArthroscopy200420e45–e4710.1016/j.arthro.2004.03.021
12.
JohnsonBAFallatLMThe effect of screw holes on bone strengthJ Foot Ankle Surg199736446–45110.1016/S1067-2516(97)80097-X
13.
ItoMMTanakaSEvaluation of tibial bone-tunnel changes with x-ray and computed tomography after ACL reconstruction using a bone-patella tendon-bone autograftInt Orthop20063099–10310.1007/s00264-006-0078-y
14.
SmallNCComplications in arthroscopic surgery performed by experienced arthroscopistsArthroscopy19884215–22110.1016/S0749-8063(88)80030-6
15.
YuJKPaesslerHHRelationship between tunnel widening and different rehabilitation procedures after anterior cruciate ligament reconstruction with quadrupled hamstring tendonsChin Med J2005118320–326
16.
ClarkCRMorganCSonstegardDAThe effect of biopsy-hole shape and size on bone strengthJ Bone Joint Surg Am197759213–217
17.
FaunoPKaalundSTunnel widening after hamstring anterior cruciate ligament reconstruction is influenced by the type of graft fixation used: a prospective randomized studyArthroscopy2005211337–134110.1016/j.arthro.2005.08.023
18.
MoscaJCCahillJBTuckerCYPostsurgical rehabilitation guidelines for the orthopedic clinician2006Saint Louis, MOMosby425–438
19.
HeierKAMackDRMoseleyJBPaineRBocellJRAn analysis of anterior cruciate ligament reconstruction in middle-aged patientsAm J Sports Med1997254527–53210.1177/036354659702500416
20.
PlancherKDSteadmanJRBriggsKKHuttonKSReconstruction of the anterior cruciate ligament in patients who are at least forty years oldJ Bone Joint Surg199880–A2184–197
21.
Marquass B, Hepp P, Engel T, Dusing T, Lill H, Josten C (2007) The use of hamstrings in anterior cruciate ligament reconstruction in patients over 40 years. Arch Orthop Traum Surg Apr 14; [Epub ahead of print]
22.
BeynnonBDJohnsonRJAbateJAFlemingBCNicholsCETreatment of anterior cruciate ligament injuries, part IAm J Sports Med200533101579–160210.1177/0363546505279913
