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Insufficiency fracture of the tibial plateau after anterior cruciate ligament reconstructive surgery: a case report and review of the literature.

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  • معلومة اضافية
    • Author-Supplied Keywords:
      ACL reconstruction
      complication
      conservative management
      fracture
      tibial plateau
      chirurgie reconstructive du LCA
      complication
      gestion conservatrice
      plateau tibial
      Language of Keywords: English; French
    • Abstract:
      Peri-articular fractures after anterior cruciate ligament (ACL) reconstructive surgery are rare. To our knowledge, this case documents the first insufficiencyfracture of the tibial plateau after ACL reconstruction, which presented three weeks after the procedure. A 25-year-old female recreational soccer player suffered an insufficiency fracture of the tibial plateau, extending 1.5 mm into the anterior wall of tibial tunnel and medial compartment under the anterior horn of medial meniscus, which presented as a diagnostic challenge. Clinically, the fracture mimicked a low-grade infection of the surgical site, while radiographically, the fracture resembled an avulsion fracture, later confirmed as a tibial tunnel fracture with computed tomography. With the ACL graft integrity not in jeopardy, four weeks of non-weight bearing and a delayed post-operative rehabilitation program was effective in allowing the fracture to heal. Good functional outcome was achieved after conservative management, with minimal loss of terminal knee extension and minimal pain at 22-month follow-up. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Les fractures péri-articulaires après une chirurgie reconstructive du ligament croisé antérieur (LCA) sont rares. À notre connaissance, ce cas représente lapremière fracture par insuffisance du plateau tibial après une chirurgie reconstructive du LCA, qui s'est présentée trois semaines après la procédure. Une joueuse amateur de soccer de 25 ans a subi une fracture par insuffisancedu plateau tibial, se prolongeant 1,5 mm dans la paroi antérieure du tunnel tibial et dans le compartiment médian sous la corne antérieure du ménisque interne,ce qui présentait une difficulté de diagnostic. Du point de vue clinique, la fracture ressemblait à une infection légère du foyer opératoire, alors que d'un point de vueradiographique, cela ressemblait plus à une fracture par avulsion. Plus tard, la tomographie par ordinateur a confirmé une fracture du tunnel tibial. L'intégrité de la greffe n'étant pas en danger, quatre semaines sans porter aucune charge et un programme différé de réhabilitation postopératoire ont permis la guérison de la fracture. De bons résultats fonctionnels ont été atteints après la gestion conservatrice, avec une perte minimale de l'extension du genou terminal, et une douleur minimale après 22 mois de suivi. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Journal of the Canadian Chiropractic Association is the property of Canadian Chiropractic Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Graduate Student, Clinical Sciences, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada
      2Assistant Professor, Division of Undergraduate Studies, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada
    • ISSN:
      0008-3194
    • Accession Number:
      88944307
  • Citations
    • ABNT:
      WONG, J. J.; MUIR, B. Insufficiency fracture of the tibial plateau after anterior cruciate ligament reconstructive surgery: a case report and review of the literature. Journal of the Canadian Chiropractic Association, [s. l.], v. 57, n. 2, p. 123–131, 2013. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=88944307&custid=s8280428. Acesso em: 25 maio. 2020.
    • AMA:
      Wong JJ, Muir B. Insufficiency fracture of the tibial plateau after anterior cruciate ligament reconstructive surgery: a case report and review of the literature. Journal of the Canadian Chiropractic Association. 2013;57(2):123-131. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=88944307&custid=s8280428. Accessed May 25, 2020.
    • APA:
      Wong, J. J., & Muir, B. (2013). Insufficiency fracture of the tibial plateau after anterior cruciate ligament reconstructive surgery: a case report and review of the literature. Journal of the Canadian Chiropractic Association, 57(2), 123–131.
    • Chicago/Turabian: Author-Date:
      Wong, Jessica J., and Brad Muir. 2013. “Insufficiency Fracture of the Tibial Plateau after Anterior Cruciate Ligament Reconstructive Surgery: A Case Report and Review of the Literature.” Journal of the Canadian Chiropractic Association 57 (2): 123–31. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=88944307&custid=s8280428.
    • Harvard:
      Wong, J. J. and Muir, B. (2013) ‘Insufficiency fracture of the tibial plateau after anterior cruciate ligament reconstructive surgery: a case report and review of the literature’, Journal of the Canadian Chiropractic Association, 57(2), pp. 123–131. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=88944307&custid=s8280428 (Accessed: 25 May 2020).
    • Harvard: Australian:
      Wong, JJ & Muir, B 2013, ‘Insufficiency fracture of the tibial plateau after anterior cruciate ligament reconstructive surgery: a case report and review of the literature’, Journal of the Canadian Chiropractic Association, vol. 57, no. 2, pp. 123–131, viewed 25 May 2020, .
    • MLA:
      Wong, Jessica J., and Brad Muir. “Insufficiency Fracture of the Tibial Plateau after Anterior Cruciate Ligament Reconstructive Surgery: A Case Report and Review of the Literature.” Journal of the Canadian Chiropractic Association, vol. 57, no. 2, June 2013, pp. 123–131. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=88944307&custid=s8280428.
    • Chicago/Turabian: Humanities:
      Wong, Jessica J., and Brad Muir. “Insufficiency Fracture of the Tibial Plateau after Anterior Cruciate Ligament Reconstructive Surgery: A Case Report and Review of the Literature.” Journal of the Canadian Chiropractic Association 57, no. 2 (June 2013): 123–31. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=88944307&custid=s8280428.
    • Vancouver/ICMJE:
      Wong JJ, Muir B. Insufficiency fracture of the tibial plateau after anterior cruciate ligament reconstructive surgery: a case report and review of the literature. Journal of the Canadian Chiropractic Association [Internet]. 2013 Jun [cited 2020 May 25];57(2):123–31. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=88944307&custid=s8280428