Periprosthetic total knee fracture after remote reconstruction of the anterior cruciate ligament: a case report

Abstract

Abstract Background Distal femoral fracture is a rare, but significant, postoperative complication of anterior cruciate ligament reconstruction. However, there has not been a reported case of periprosthetic total knee arthroplasty fracture associated with a previous anterior cruciate ligament repair. Case presentation We report the case of a 51-year-old white man with a history of total knee arthroplasty and remote anterior cruciate ligament reconstruction, who presented with a distal femoral periprosthetic fracture at the site of a previous anterior cruciate ligament augmentation staple. Conclusions Based on these findings, it may be important to consider removal of previous anterior cruciate ligament hardware prior to total knee arthroplasty to reduce risk of periprosthetic fracture, which should be determined on a patient-specific basis.

Keywords

• Periprosthetic
• Total knee arthroplasty (TKA)
• Anterior cruciate ligament (ACL) reconstruction
• Stress riser effect
• Distal femur fracture