B. Brownstein et S. Bronner, PATELLA FRACTURES ASSOCIATED WITH ACCELERATED ACL REHABILITATION IN PATIENTS WITH AUTOGENOUS PATELLA TENDON RECONSTRUCTIONS, The Journal of orthopaedic and sports physical therapy, 26(3), 1997, pp. 168-172
Patella fracture is a recognized complication of ACL reconstruction wi
th an autogenous patella tendon graft. Typically, fracture occurs as a
result of a fall. The incidence of fracture is similar to 0.5%. Accel
erated rehabilitation protocols can place stress on the patella, espec
ially in the initial stages of recovery. Therapists are reminded to ob
serve constraints placed on patients by biological tissues, recovering
neuromuscular status, and previous level of conditioning. Rehabilitat
ion protocols should be revised according to these factors.