Shen Jiquan, Hong Liang, Zhou Changjian, Wang Xinggao, Ye Zhijun, Wang Bo
Department of Orthopaedics, The Sixth Affiliated Hospital of Wenzhou Medical University, The First Affiliated Hospital of Lishui University, The People's Hospital of Lishui, Lishui, Zhejiang, China.
Department of Orthopaedics, The People's Hospital of Yunhe, Lishui, Zhejiang, China.
Front Surg. 2025 Apr 8;12:1501740. doi: 10.3389/fsurg.2025.1501740. eCollection 2025.
To address the clinical challenges of femoral avulsion fractures of the anterior cruciate ligament (ACL), which are rare and lack a consensus on optimal treatment, through the presentation of a novel minimally invasive arthroscopic technique.
An 18-year-old female with an ACL femoral avulsion fracture and a medial collateral ligament (MCL) rupture underwent arthroscopic anchor stitching using a composite absorbable bone anchor. This technique aimed to achieve anatomical reduction and support early functional recovery.
The surgical intervention achieved successful anatomical reduction. At the 6-month follow-up, the patient exhibited full knee mobility, joint stability, and resumed normal activities without discomfort. By the final 17-month follow-up, computed tomography (CT) confirmed complete fracture union, with preserved joint architecture and no degenerative changes. The knee remained stable and pain-free, demonstrating sustained efficacy of the technique.
The arthroscopic anchor stitching technique is a viable, minimally invasive option for ACL femoral avulsion fractures, promoting rapid recovery and excellent long-term outcomes. This case highlights the importance of early recognition and anatomical fixation for such injuries.
通过介绍一种新型微创关节镜技术，应对前交叉韧带（ACL）股骨撕脱骨折的临床挑战，此类骨折罕见且在最佳治疗方法上缺乏共识。
一名患有ACL股骨撕脱骨折和内侧副韧带（MCL）断裂的18岁女性接受了使用复合可吸收骨锚的关节镜锚钉缝合术。该技术旨在实现解剖复位并支持早期功能恢复。
手术干预成功实现了解剖复位。在6个月的随访中，患者膝关节活动自如，关节稳定，恢复正常活动且无不适。到最后17个月的随访时，计算机断层扫描（CT）证实骨折完全愈合，关节结构保留且无退变改变。膝关节保持稳定且无疼痛，证明了该技术的持续有效性。
关节镜锚钉缝合技术是治疗ACL股骨撕脱骨折的一种可行的微创选择，可促进快速恢复并取得优异的长期效果。该病例突出了对此类损伤早期识别和解剖固定的重要性。
