Surgical treatment for a combined anterior cruciate ligament and posterior cruciate ligament avulsion fracture: A case report

Abstract

BACKGROUND Independent avulsion fractures with anterior cruciate ligament (ACL) or posterior cruciate ligament (PCL) attachment are relatively common among tibial intercondylar eminence fractures, and their postoperative outcomes are generally favorable. Conversely, huge avulsion fractures of the intercondylar eminence containing the attachment site of both the ACL and the PCL are extremely rare, and the reported clinical outcomes are poor. CASE SUMMARY We describe a 30-year-old Japanese male's huge avulsion fracture of the intercondylar eminence of a tibia containing the attachment site of both the ACL and PCL, together with a complete tear of the medial collateral ligament and a partial tear of both the medial and lateral menisci caused by a fall from a high place. All of these injuries were treated surgically, with anatomical reduction and stable fixation. The limb function at 1 year post-surgery was excellent (Lysholm score: 100 points). CONCLUSION Although this patient's complete surgical repair was complex, it should be performed in similar cases for an excellent final clinical outcome.

Simultaneous Displaced Anterior and Posterior Cruciate Ligament Avulsion Fractures After Fall From a Bicycle

“…The authors approached this fracture through a posterior approach followed by an anterior approach. This case also differs from ours in that the medial tibial plateau was fractured in this case 13 .…”