Insufficiency avulsion fracture of the femoral attachment of the posterior cruciate ligament of the knee joint

2017 ◽  
Vol 46 (9) ◽  
pp. 1267-1269 ◽  
Author(s):  
Omar M. Albtoush ◽  
Marius Horger
Keyword(s):  
Knee Joint ◽  
Posterior Cruciate Ligament ◽  
Avulsion Fracture ◽  
Cruciate Ligament ◽  
Femoral Attachment

scholarly journals Evaluation of Knee Joint after Open Reduction and Internal Fixation Surgery of Posterior Cruciate Ligament in Patients with Avulsion Fracture

2019 ◽  
Vol 7 (6) ◽  
pp. 982-986
Author(s):  
Navid Salehi ◽  
Faeze Azarifar ◽  
Arman Jahanshahi ◽  
Hamidreza Mohammadi
Keyword(s):  
Knee Joint ◽  
Internal Fixation ◽  
Posterior Cruciate Ligament ◽  
Open Reduction ◽  
Avulsion Fracture ◽  
Cruciate Ligament ◽  
Common Mechanism ◽  
Knee Score ◽  
Normal Knee ◽  
Lysholm Knee Score

BACKGROUND: The posterior cruciate ligament is one of the important tissues and structures sustaining the knee joint, and its rupture or detachment may lead to joint instability or destruction. AIM: The present study aimed at investigating the Open Reduction and Internal Fixation surgery of posterior cruciate ligament and comparing it to the normal knee of the same side. METHODS: In this study, 25 patients with avulsion fracture at the PCL joint were treated with open surgery and screw fixation. The patients were followed up by Lysholm knee score for at least 12 months after surgery. RESULTS: All patients were male with an average age of 25 years over the years 2010-2018. The common mechanism of injury in these patients was motorcycle-car accident. In the study with Lysholm knee score, 21 patients (80%) obtained the good score of 60-90 while 20% of patients were placed in the fair group (30-59). The average score was 86. CONCLUSION: The obtained score of knee function questionnaire in this study had no significant difference from other similar studies, and most patients achieved a good and acceptable score after the surgery. There was no knee instability and functional impairment in the patients compared to the normal knee. Considering the clinical results after the fixation of the PCL avulsion fracture causing a significant improvement in patients, the surgery could be considered as an acceptable and effective method for treating such impairment and fracture.

scholarly journals Arthroscopic Fixation of Osteochondral Avulsion Fracture of the Femoral Attachment of the Posterior Cruciate Ligament in an 82-Year-Old Patient: A Case Report

2018 ◽  
Vol 9 ◽  
pp. 215145931879817
Author(s):  
Masakazu Ishikawa ◽  
Kenji Kobayashi ◽  
Nobuo Adachi
Keyword(s):  
Elderly Patient ◽  
Posterior Cruciate Ligament ◽  
Daily Activity ◽  
Avulsion Fracture ◽  
Cruciate Ligament ◽  
Suture Technique ◽  
Invasive Approach ◽  
Femoral Attachment ◽  
Osteochondral Fragment ◽  
Femoral Avulsion

Femoral avulsion fracture of the posterior cruciate ligament (PCL) is less common compared to the tibial side. Especially, femoral avulsion in an elderly patient is an extremely rare condition. Until now, there is no report that describes its treatment and clinical outcome in elderly patients. We demonstrate an 82-year-old female who presented with osteochondral avulsion fracture of the femoral attachment of the PCL. The osteochondral fragment was fixed with an arthroscopic transfemoral suture technique. After treatment, the pain was improved and the patient achieved previous daily activity within 6 weeks. After 6 months, plain X-ray and computed tomography scans demonstrated consolidation of osteochondral fragment. The Lysholm score was 78 points at final office visit. This simple and less invasive approach is useful for pain relief and earlier return to daily activity in an elderly patient with osteoporosis.

An Uncommon Trauma: Hoffa's Fracture Associated with Tibial Avulsion Fracture of the Posterior Cruciate Ligament

2021 ◽  
Author(s):  
Bertan Cengiz ◽  
Sinan Karaoglu
Keyword(s):  
Posterior Cruciate Ligament ◽  
Avulsion Fracture ◽  
Cruciate Ligament ◽  
Easy Access ◽  
Lateral Condyle ◽  
Type I ◽  
Hoffa Fracture ◽  
Tibial Avulsion Fracture ◽  
Additional Stability ◽  
Buttress Plate

Abstract BackgroundSince Hoffa fractures are usually the result of high-energy injuries, many additional accompanying injuries have been described. This is the first paper representing the lateral condyle Hoffa fracture accompanying tibial avulsion fracture of the posterior cruciate ligament (PCL).Case PresentationA 42-years-old male presented with swelling and instability in his left knee after falling during parachute landing. He was diagnosed with simultaneous Letenneur Type I lateral condyle Hoffa fracture and tibial avulsion fracture of the PCL. He was operated on with a single posterior incision for both fractures. Multiple cannulated lag screws were used for the fixation of the Hoffa fracture, and a buttress plate was used for additional stability. PCL avulsion fracture was fixed with a cannulated screw with a washer. The patient was allowed for full-weight-bearing and range of motion at the sixth week after the operation. No complications occurred during follow-up.ConclusionCare should be taken in terms of additional injuries that may accompany Hoffa fractures. The posterior approach allows easy access to both fractures with a single incision. Using a buttress plate after the fixation of the Hoffa fracture with multiple lag screws provides additional stability.

Posterior Cruciate Ligament Femoral Insertion Site Characteristics: Importance for Reconstructive Procedures

2002 ◽  
Vol 30 (5) ◽  
pp. 643-651 ◽  
Author(s):  
Etienne A. Mejia ◽  
Frank R. Noyes ◽  
Edward S. Grood
Keyword(s):  
Articular Cartilage ◽  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Insertion Site ◽  
Femoral Shaft ◽  
Surgical Reconstruction ◽  
Anatomic Study ◽  
Reconstructive Procedures ◽  
Femoral Attachment ◽  
Site Characteristics

Background: Previous descriptions of the insertion site of the posterior cruciate ligament are inadequate. Hypothesis: More than one reference system is required to adequately represent the anatomy of the femoral attachment. Study Design: Descriptive anatomic study. Methods: Twelve cadaveric specimens were evaluated by using two measurement methods relative to the femoral articular cartilage margin and two methods relative to the intercondylar femoral roof. Results: Reference lines perpendicular to the articular cartilage best defined the 12- and 1-o'clock positions, and those perpendicular to the articular cartilage or parallel to the femoral shaft best defined the 2-, 3-, and 4-o'clock positions. The angle of the proximal attachment to the roof was 88° ± 5.5°. The posterior cruciate ligament was a continuum of fibers rather than two distinct bundles, and its attachment showed variability in shape and thickness, extending past the midline in the notch (11:21 ± 15 minutes to 4:12 ± 20 minutes, right knee). Conclusions: More than one measurement system is required to accurately describe the femoral origin of the posterior cruciate ligament. Clinical Relevance: Accurate assessment of the anatomy is crucial for successful surgical reconstruction of the posterior cruciate ligament femoral attachment.

scholarly journals Avulsion fracture of the posterior cruciate ligament in an uncommon location associated with distal injury to the patellar ligament

2015 ◽  
Vol 50 (6) ◽  
pp. 743-746
Author(s):  
Rodrigo Pires e Albuquerque ◽  
Idemar Monteiro da Palma ◽  
Hugo Cobra ◽  
Alan de Paula Mozella ◽  
Victor Vaques
Keyword(s):  
Posterior Cruciate Ligament ◽  
Avulsion Fracture ◽  
Cruciate Ligament ◽  
Patellar Ligament ◽  
Uncommon Location
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