Abstract

Increased expectations by more active patients have placed ACL reconstruction amongst the more popular orthopaedic procedures. Despite the favourable outcome, risks include donor site Morbidity, graft failure and revision surgery. Various graft options exist (Auto-, Alloand Synthetic) for the ACL deficient knee but the strength, ease of harvest and osseous integration favours the patellar tendon graft over other options. Reported complications associated with patellar tendon grafting include harvest site numbness, tendonitis, patellar tendon rupture and patellar fracture. We believe the following report to be the first presenting a complex tibial fracture after bone— tendon—bone autograft ACL reconstruction following a low energy hyperextension injury requiring surgical intervention.

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