Tibial plateau fracture following anterior cruciate ligament reconstruction

A case is presented of a tibial plateau fracture after previous anterior cruciate ligament reconstruction using patellar tendon autograft. The tibial plateau fracture occurred through the transosseous tibial tunnel and followed a torsional injury to the involved extremity. The stress riser effect of the transosseous tibial tunnel and the anatomic location of the cortical defect probably facilitated development of the fracture. Minimally invasive fixation of the fracture was effective in preserving knee stability without need for revision anterior cruciate ligament reconstruction.