Published online Apr 26, 2022. doi: 10.12998/wjcc.v10.i12.3879
Peer-review started: September 8, 2021
First decision: December 27, 2021
Revised: February 9, 2022
Accepted: March 6, 2022
Article in press: March 6, 2022
Published online: April 26, 2022
Processing time: 224 Days and 22 Hours
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.
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).
Although this patient's complete surgical repair was complex, it should be performed in similar cases for an excellent final clinical outcome.
Core Tip: Avulsion fractures of the tibial intercondylar eminence containing the attachment site of both the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) are extremely rare, and the reported clinical outcomes are poor. We report a case of combined knee injury of ACL and PCL avulsion fracture together with a tear of the medial collateral ligament and both the medial and lateral menisci. All of these injuries were treated surgically, with anatomical reduction and rigid fixation. The limb function at 1 year post-surgery was excellent.