Reconstruction of the anterior cruciate ligament is one of the most frequently performed orthopaedic procedures, with more than 100,000 reconstructions performed annually in the United States alone1. Autogenous bone-patellar tendon-bone graft is the graft option that is most frequently utilized by orthopaedic surgeons in the United States, Canada, and Europe2. Complications have been reported to occur in association with 1.8% to 24% of anterior cruciate ligament reconstructions3-5. Serious complications have included arthrofibrosis, patellar fracture, patellar tendon rupture, tibial tubercle fracture, tibial plateau fracture, and osteonecrosis of the femoral condyles3-6. Femoral fracture following anterior cruciate ligament reconstruction is a devastating complication that has been reported only in isolated cases and has been attributed to technical errors or the creation of additional bone holes for supplemental fixation devices used with earlier reconstructive techniques7-12. We present a rare case of a supracondylar femoral fracture that occurred after an arthroscopic anterior cruciate ligament reconstruction that had been performed without supplemental fixation and had not been associated with intraoperative complications. The fracture occurred through an enlarged femoral tunnel following an injury of the involved extremity. Our patient was informed that data concerning this case would be submitted for publication.
A thirty-three-year-old man sustained an injury of the left knee after falling off a mountain bike. He reported that he had lost his balance while in a standing position and had fallen onto the right side with hyperextension of the left knee after getting his foot caught in the pedal. He presented to the emergency room with left knee pain and the inability to bear weight on the affected leg. A review of the history revealed that an arthroscopic reconstruction of the left anterior cruciate ligament had been performed …
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