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Updated: Jun 23, 2025

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
Published on: December 10, 2021
Proximal Tibia Fracture Through Suture Augmentation Sites Following ACL/MCL Repairs: A Case Report
Scott M Feeley1,2, Arash Kamali2, Donald F Colantonio3
1Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland.
Case:
A 35-year-old man sustained a proximal tibia fracture from a low-energy mechanism 1 year after anterior cruciate and medial collateral ligament repairs with suture augmentation (SA). The fracture propagated through both tibial SA anchor sites. Following intramedullary tibial nailing, he returned to his prior level of function.
Conclusion:
While complications of SA for ligamentous procedures are rare, these techniques are being implemented more frequently and the full complication profile is yet to be determined. Our report documents a new complication and potential risk factors that surgeons should consider when performing SA for multiligament knee surgery in active individuals.

