Posterior cruciate ligament avulsion fracture in skeletally immature patient

2021 ◽  
Vol 21 (2) ◽  
pp. 69
Author(s):  
AbdulmuhsenN Alshammari ◽  
MohammadAli Karbouji ◽  
TalalJ Alamri ◽  
AshjanSaleh Akram ◽  
AlaaSobhy Shams
Keyword(s):  
Posterior Cruciate Ligament ◽  
Avulsion Fracture ◽  
Cruciate Ligament ◽  
Skeletally Immature ◽  
Skeletally Immature Patient

scholarly journals Treatment of Anterior Cruciate Ligament Injury in Skeletally Immature Patients

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Joshua L. Hudgens ◽  
Diane L. Dahm
Keyword(s):  
Cruciate Ligament ◽  
Treatment Options ◽  
Cartilage Damage ◽  
Functional Results ◽  
Patient Treatment ◽  
Ligament Injury ◽  
Minimal Risk ◽  
Skeletally Immature ◽  
Increased Risk ◽  
Skeletally Immature Patient

The incidence of ACL tears is rising in the pediatric and adolescent populations as these individuals succumb to traumatic and nontraumatic athletic injuries. Management of this condition in the skeletally immature patient poses a challenge and is controversial. Operative reconstruction carries the concern for damage to the physis with resultant limb length inequality and angular joint deformity but provides stability to the knee and allows return of function in most patients. On the other hand, nonoperative treatment has been shown to carry an increased risk of meniscal and articular cartilage damage and is difficult from a compliance standpoint in this demographic. For the majority of skeletally immature patients, operative treatment is recommended as it has shown good clinical and functional results with minimal risk of growth disturbance. This paper aims to address the natural course of ACL injuries in the skeletally immature patient, treatment options with associated complications, and current preventative strategies.

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 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

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.

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