The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Femoral Condyle Fracture during Revision of Anterior Cruciate Ligament Reconstruction: Case Report and a Review of Literature

Document Type : CASE REPORT

Authors
Sohrab Keyhani 1
Arash Sharafat Vaziri 2
Hossein Shafiei 3
Mohsen Mardani-Kivi 4
1 Orthopedic department, Akhtar Hospital, Shahid-Beheshti University of Medical Sciences
2 Orthopedic surgeon, Orthopedic Department, khatam-Anbia Hospital, Tehran, Iran
3 Avicenna Hospital, Mazandaran University of Medical Sciences, Sari, Iran
4 Trauma Road Research Center, Poursina Hospital, Guilan University Of Medical Sciences, Rasht, Iran
10.22038/abjs.2015.3940
Abstract
 Background: 
A rare and devastating complication following anterior cruciate ligament (ACL) revision reconstruction is femoral fracture.    
Case presentation: 
A 35-year old male soccer player with a history of ACL tear from the previous year ago, who underwent arthroscopic ACL reconstruction and functioned well until another similar injury caused ACL re-rupture. Revision of ACL reconstruction was performed and after failure of graft tension during the pumping, a fluoroscopic assessment showed a femoral condyle fracture. The patient referred to our knee clinic and was operated on in two stages: first fixation of the fracture and then ACL re-revision after fracture healing was complete. 
Conclusions: 
Not inserting multiple guide pins, keeping a safe distance from the posterior cortex and giving more attention during graft tensioning, especially in revision surgeries, are all small points that can reduce the risk of fracture during the revision of ACL reconstruction
Keywords
Anterior cruciate ligament (ACL)
complication
Condylar fracture
Revision reconstruction
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The Archives of Bone and Joint Surgery
Volume 3, Issue 2 - Serial Number 2
April 2015
Pages 137-140

  • Receive Date 22 August 2014
  • Revise Date 03 December 2014
  • Accept Date 25 December 2014