St. Vincentius a Paulo Catholic Hospital, Surabaya, Indonesia.
Department of Orthopaedics and Traumatology, Universitas Gadjah Mada, Dr. Sardjito General Hospital, Yogyakarta, Indonesia.
Chin J Traumatol. 2023 Mar;26(2):106-110. doi: 10.1016/j.cjtee.2023.01.002. Epub 2023 Jan 14.
A cruciate ligament avulsion is a much less common form of injury than a cruciate ligament tear. Simultaneous tibial avulsion fractures of both cruciate ligaments occur even more rarely. Over the last decades, many studies have described arthroscopic fixation of acute cruciate tibial avulsion fractures, but arthroscopic treatment in a late presenting patient has not been reported in the literature. This case report presents a 32-year-old female with a chronic tibial avulsion fracture of both anterior cruciate ligament and posterior cruciate ligament. Simultaneous fixation of both fractures was performed arthroscopically at week four post-injury. At one year of follow-up, the patient had demonstrated full knee range of motion and stable knee with no complaints, and achieved excellent clinical outcomes. Radiographs showed union of both fractures, and the patient had resumed high-impact exercises.
十字韧带撕脱伤比十字韧带撕裂伤少见得多。同时发生的双侧十字韧带胫骨撕脱骨折更为罕见。在过去几十年中，许多研究描述了急性十字韧带胫骨撕脱骨折的关节镜固定，但文献中尚未报道晚期出现的此类患者的关节镜治疗。本病例报告介绍了一位 32 岁女性患者，其患有双侧前十字韧带和后十字韧带慢性胫骨撕脱骨折。受伤后第 4 周，采用关节镜同时固定两处骨折。随访 1 年时，患者膝关节活动度完全正常，无任何不适且稳定，临床疗效极佳。X 线片显示两处骨折均已愈合，患者已恢复高冲击运动。
