• Arthroscopy · Apr 2001

    Case Reports

    Tibial plateau fracture after arthroscopic anterior cruciate ligament reconstruction.

    • A Delcogliano, S Chiossi, A Caporaso, S Franzese, and A Menghi.
    • Department of Orthopaedics, Catholic University, Rome, Italy. traum.sport@tin.it
    • Arthroscopy. 2001 Apr 1; 17 (4): E16.

    AbstractComplications have been described with each technique for reconstruction of the anterior cruciate ligament (ACL) in the knee, both open and arthroscopically assisted. The authors describe a case of tibial plateau fracture occurring 7 months after an ACL reconstruction using the half tunnel technique. The fracture occurred at the tibial fixation site and required open reduction with internal fixation. To our knowledge, only 2 cases of proximal tibial fracture after patellar tendon autograft ACL reconstruction have been previously reported. The authors hypothesize that patellar tendon harvesting with bone blocks and transosseous tibial tunnel can produce a "stress riser" effect and somehow act synergistically to create decreased strength at the level of proximal tibial metaphysis.

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