Knee Ligament Injury in Femoral Shaft Fractures


avatar afshin taheriazam 1 , * , avatar Mohammadnaghi Tahmasebi 1

Dept of Orthopedics, Faculty of Medicine, Zahedan University of Medical Sciences and Health Services, Zahedan, Iran

how to cite: taheriazam A, Tahmasebi M. Knee Ligament Injury in Femoral Shaft Fractures. Zahedan J Res Med Sci. 2008;10(4):e94502.


Background: Simultaneous knee ligament injury with femoral shaft fracture happens not
infrequently. Such injuries may be missed on initial evaluation of the broken limb. In this study we
report the prevalence of knee ligament injury in a group of isolated femoral fractures.
Materials and Methods: A total of 125 patients with isolated femoral fractures entered to this
study and followed for 24 months. After fixation of their fractures, all patients underwent a
thorough examination of knee ligaments in the operating room.
Results: Among these 123 cases 75.1% were male. Mean age was 26.2 years. There were 39
patients (31.2%) with simultaneous ligamentous injury. The types of ligamentous injury were as
follow: medial collateral ligament (18), posterior cruciate ligament (12), lateral collateral ligament
(6), and anterior cruciate ligament (3).
Conclusion: Based on the above findings, it is recommended to have a high index of suspicion for
co-existence of knee injuries in ipsilateral fracture of femoral shaft.


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© 2008, Zahedan Journal of Research in Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.