title: Stress fractures of the femur after ACL reconstruction with transfemoral fixation.
abstract: The ACL reconstruction with hamstring tendons has become increasingly popular, in part because it is assumed that the complication rate associated with the technique and their severity are lower than with patellar tendon. Two cases of stress reaction of the medial supracondylar area of the femur after ACL reconstruction with hamstring tendons using BioTransfix (Arthrex, Naples, FL, USA) devices for fixation within femur are presented. Both patients were professional athletes (one soccer and one basketball player), and it is hypothesized that the accelerated rehabilitation program used might have represented a risk factor for stress fractures when associated with the guide pin exit hole in the medial femoral cortex. To our knowledge, no such cases have been published to date, but it is important to consider this possibility if an unexplained pain arises in the rehabilitation process of an ACL reconstruction using transfemoral fixation.
authors.affiliation: arriaza@tiscali.es
authors.forename: Rafael
authors.initials: R
authors.lastname: Arriaza
authors.forename: Jose
authors.initials: J
authors.lastname: Señaris
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Couceiro
authors.forename: Jesus
authors.initials: J
authors.lastname: Aizpurua
mesh_terms: D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001490:Basketball / Q000293:injuries; D005260:Female; D005264:Femoral Fractures / Q000175:diagnosis / Q000209:etiology*; D005269:Femur / Q000000981:diagnostic imaging / Q000293:injuries*; D015775:Fractures, Stress / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D019637:Orthopedic Procedures / Q000009:adverse effects; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology*; D011859:Radiography; D012916:Soccer / Q000293:injuries; D053831:Surgical Fixation Devices / Q000009:adverse effects