COMBINED TIBIAL AVULSION OF ANTERIOR AND POSTERIOR CRUCIATE LIGAMENT OF KNEE JOINT: A CASE REPORT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 6
Abstract
Avulsion fractures of tibial intercondylar eminence is a rare injury mainly affecting the pediatric population between 8 to 14 and is even rarer in adults with very few cases reported in literature. It occurs with high energy trauma in adults and may be associated with knee dislocation and neurovascular injuries. A 30 yr old male presented with a painful swollen left knee, limited knee motion, and difficulty with weight bearing after a history of fall from motorcycle. Imaging revealed Type 3 Meyers and McKeever tibial spine avulsion of both ACL and PCL. A two staged surgical procedure was performed: (a) Arthroscopic reduction and fixation with headed cannulated screw of ACL tibial fragment; (b) ORIF with headed cannulated screw of PCL tibial fragment via posterior approach to knee. Good functional outcome and early mobilization was achieved. Diagnostic arthroscopic helps to evaluate the condition of the cruciate ligaments as well as fracture bed. Simultaneously fixation of ACL fragment with cannulated screw can be done, which is a simpler procedure to suture fixation. ORIF of PCL fragment in a staged manner has helped to address the injury in a detailed manner achieving goal of anatomical reduction and early mobilization.
Authors and Affiliations
Ajaybir Singh, Samir Dwidmuthe, Vikram Sapre, Anil Golhar
Keywords
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- EP ID EP106389
- DOI 10.14260/jemds/2015/154
- Views 84
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