title: Tibial plateau fracture following anterior cruciate ligament reconstruction.
abstract: A case is presented of a tibial plateau fracture after previous anterior cruciate ligament reconstruction using patellar tendon autograft. The tibial plateau fracture occurred through the transosseous tibial tunnel and followed a torsional injury to the involved extremity. The stress riser effect of the transosseous tibial tunnel and the anatomic location of the cortical defect probably facilitated development of the fracture. Minimally invasive fixation of the fracture was effective in preserving knee stability without need for revision anterior cruciate ligament reconstruction.
authors.affiliation: Department of Orthopedic Surgery, Massachusetts General Hospital, Wang Ambulatory Care Center 525, 15 Parkman Street, Boston, MA 02114, USA. mithoeferk@aol.com
authors.forename: Kai
authors.initials: K
authors.lastname: Mithöfer
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Gill
authors.forename: Mark S
authors.initials: MS
authors.lastname: Vrahas
mesh_terms: D000058:Accidental Falls; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D008592:Menisci, Tibial / Q000601:surgery; D008875:Middle Aged; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods; D018570:Risk Assessment; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D000070600:Tibial Meniscus Injuries; D016896:Treatment Outcome