Peri-Implant Fracture After Fulkerson Osteotomy — A Case Report



Hernández Mesa Pablo1*, Galdames Pérez1, Olmedo Palma1

1Department of Orthopedic Surgery and Traumatology, Torrecardenas University Hospital, Almería, Spain.

*Corresponding Author: Hernandez Mesa Pablo, Department of Orthopedic Surgery and Traumatology, Torrecardenas University Hospital, Almería, Spain.

https://doi.org/10.58624/SVOAOR.2025.05.014

Received: May 17, 2025

Published: July 02, 2025

Citation: Pablo HM, Pérez G, Palma O. Peri-Implant Fracture After Fulkerson Osteotomy — A Case Report. SVOA Orthopaedics 2025, 5:4, 82-84. doi: 10.58624/ SVOAOR.2025.05.014

 

Abstract

Peri-implant fracture is a rare but severe complication in Fulkerson osteotomy, it usually affects the young and sportive population with concern in return to sport. We report the case of a 26-year-old male who underwent MPFL (Medial Patellofemoral Ligament) reconstruction combined with Fulkerson-type anteromedial tibial tubercle transfer to address chronic patellofemoral instability. Close to 6 months postoperatively he presented a peri-implant fracture just below the osteotomy during a running session. This case was managed surgically with dual plating with complete consolidation for 3 months and good reported outcomes

Keywords: Patellofemoral, Fulkerson, Peri-Implant