Abstract

ore than 100,000 anterior cruciate ligament recon-struction operations are performed annually in the United States1. Autogenous bone-patellar tendon-bone graft is the most frequent graft option used. The reported prevalence of complications varies widely, and serious com-plications include infection, stiffness, graft failure, deep venous thrombosis, tendon rupture, osteonecrosis, and periarticular fracture2-6. Periarticular fractures associated with anterior cru-ciate ligament reconstruction have been reported and include patellar, tibial plateau, tibial tubercle, and lateral femoral con-dylar and supracondylar femoral fracture patterns. Patellar fracture has been the most commonly documented postop-erative fracture complication and occurs in conjunction with the harvesting of autogenous bone-patellar tendon-bone graft7,8. Additionally, eight tibial fractures9-16 and eight lat-