title: Intraoperative fracture of patellar bone plug during anterior cruciate ligament reconstruction with bone-patellar tendon-bone: clinical case.
abstract: The authors report the case of intraoperative fracture of the patellar bone plug during an operation to reconstruct an anterior cruciate ligament using bone-patellar tendon-bone. This complication, known among the problems of reconstructing the anterior cruciate ligament, is usually reported when using interference screws to block the plug at the femoral level. In the case, we describe the fracture event occurred using cross-pins. The post-operative 3D radiographic reconstruction permitted precise localisation of the position of the detached bone fragment.
authors.affiliation: Orthopaedic and Traumatism Department, Hospitalian Firm, Mellino Mellini, Civil Hospital of Iseo, Brescia, Italy. andrea@orthopaedics.com
authors.forename: Andrea Emilio
authors.initials: AE
authors.lastname: Salvi
authors.forename: Giovanni Pietro
authors.initials: GP
authors.lastname: Metelli
authors.forename: Giovanni
authors.initials: G
authors.lastname: Musella
mesh_terms: D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001858:Bone Nails; D050376:Bone-Patellar Tendon-Bone Grafting; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D021621:Imaging, Three-Dimensional; D007431:Intraoperative Complications; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D010329:Patella / Q000000981:diagnostic imaging / Q000293:injuries*; D011859:Radiography