A novel approach to fix an avulsion fracture of posterior cruciate ligament from the tibia when associated with a type C distal femoral fracture and a Hoffa fracture: a case report

2011 ◽  
Vol 22 (3) ◽  
pp. 251-254
Author(s):  
Varatharaj Mounasamy ◽  
Wilhelm A. Zuelzer
Keyword(s):  
Case Report ◽  
Posterior Cruciate Ligament ◽  
Femoral Fracture ◽  
Avulsion Fracture ◽  
Cruciate Ligament ◽  
Distal Femoral Fracture ◽  
Hoffa Fracture ◽  
Novel Approach ◽  
Type C

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.

scholarly journals The Effects of Korean Medicine Treatment on Posterior Cruciate Ligament Avulsion Fracture: A Case Report

2018 ◽  
Vol 35 (3) ◽  
pp. 145-148 ◽  
Author(s):  
Ji Won Park ◽  
Tae Kyung Yoon ◽  
Won Bin Shin ◽  
Doo Ri Kim ◽  
Won Hyung Ryu ◽  
...  
Keyword(s):  
Case Report ◽  
Posterior Cruciate Ligament ◽  
Avulsion Fracture ◽  
Cruciate Ligament ◽  
Korean Medicine

Avulsion fracture of the posterior cruciate ligament at the tibial insertion in a child: a case report

2005 ◽  
Vol 14 (4) ◽  
pp. 340-342 ◽  
Author(s):  
Ender Ugutmen ◽  
Nadir Sener ◽  
Abdullah Eren ◽  
Burak Beksac ◽  
Faik Altintas
Keyword(s):  
Case Report ◽  
Posterior Cruciate Ligament ◽  
Avulsion Fracture ◽  
Cruciate Ligament ◽  
Tibial Insertion

scholarly journals Pediatric Posterior Cruciate Ligament Avulsion Fracture of the Tibial Insertion: Case Report and Review of the Literature

2017 ◽  
Vol 03 (03) ◽  
pp. e134-e138 ◽  
Author(s):  
Yannick Hurni ◽  
Vincenzo De Rosa ◽  
Jorge Gonzalez ◽  
Mario Mendoza-Sagaon ◽  
Flurim Hamitaga ◽  
...  
Keyword(s):  
Case Report ◽  
Posterior Cruciate Ligament ◽  
Avulsion Fracture ◽  
Pediatric Population ◽  
Cruciate Ligament ◽  
Correct Diagnosis ◽  
Review Of The Literature ◽  
Level Of Evidence ◽  
Rare Injury ◽  
Tibial Insertion

Background Posterior cruciate ligament (PCL) avulsion fracture of the tibial insertion is a very rare injury in children. In addition to performing an attentive clinical examination, radiologic studies are fundamental for its correct diagnosis and treatment. Its management may be either conservative or operative. So far, only a few cases treated conservatively have been reported in the pediatric population, with controversial results. Methods We prospectively collected and reviewed clinical and radiographic data of an 11-year-old boy with avulsion fracture of the tibial insertion of the PCL. In addition, we performed a systematic review of the literature available to date. Results We decided to treat the avulsion fracture in a conservative way. The patient has been followed with accurate clinical and radiological follow-up controls until complete recovery. Conclusion Posterior cruciate avulsion fracture is a very rare finding in children, and no definitive indications for its appropriate management exist. With this report, we demonstrate that these fractures can be treated conservatively in selected cases with good results, avoiding potential surgical-related complications. Study Design This is a case report (level of evidence V).

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