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  • Title: Intra-articular distal femur fracture extending from an expanded femoral tunnel in an anterior cruciate ligament (ACL) reconstructed knee: a case report.
    Author: Thangamani VB, Flanigan DC, Merk BR.
    Journal: J Trauma; 2009 Dec; 67(6):E209-12. PubMed ID: 19065114.
    Abstract:
    Anterior cruciate ligament (ACL) reconstruction is a popular surgery with overall good results. However, postoperative fracture is a serious, albeit, rare complication. Femoral tunnel lysis may cause a stress riser effect leading to distal femur fractures after ACL reconstruction. We report a case in which a patient who underwent ACL reconstruction surgery 18 months before a low-energy twisting mechanism suffered a distal femur fracture requiring open reduction internal fixation.
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