Iliac Crest Allograft with Plate Osteosynthesis for a Bone-Patellar Tendon-Bone Anterior Cruciate Ligament Donor-Site Fracture: A Case Report

A 20-year-old man sustained a comminuted bone-patellar tendon-bone donor-site fracture 17 days after a contralateral anterior cruciate ligament revision reconstruction. Successful fixation was achieved by using a tricortical iliac crest allograft bone plug with mesh plate osteosynthesis. At 6 months...

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Bibliographic Details
Published inJBJS case connector Vol. 13; no. 1
Main Authors Medina-Echeverria, Juan, Feroe, Aliya G, Hidden, Krystin A
Format Journal Article
LanguageEnglish
Published United States 01.01.2023
Subjects
Adult
Allografts
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries - surgery
Fractures, Bone
Humans
Ilium - surgery
Male
Patellar Ligament - surgery
Young Adult
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Summary:A 20-year-old man sustained a comminuted bone-patellar tendon-bone donor-site fracture 17 days after a contralateral anterior cruciate ligament revision reconstruction. Successful fixation was achieved by using a tricortical iliac crest allograft bone plug with mesh plate osteosynthesis. At 6 months of follow-up, the patient had full range of motion without pain. Patellar fractures after bone-patellar tendon-bone harvest may be treated successfully with mesh plate osteosynthesis and a tricortical iliac crest allograft bone plug. This unique fixation option addresses bone loss and restores the extensor mechanism while avoiding autograft donor site morbidity.
ISSN:2160-3251
DOI:10.2106/JBJS.CC.22.00728