Anterior cruciate ligament reconstruction simultaneously with trans-tibial pull-out fixation of avulsion fracture of medial and lateral meniscus posterior roots: a case report and eight-year follow-up
Abstract We report a rare case of anterior cruciate ligament (ACL) tear combined with acute avulsion fracture of the medial and lateral meniscal posterior roots in a 23-year-old male patient. The management strategy was focused on how to do arthroscopic trans-tibial pull-out fixation of the avulsed...
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| Format: | Article |
| Language: | English |
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BMC
2025-07-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-025-08793-8 |
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| author | Yingchang Pang Sibo Xu Gengxian Xiang Kaiqi Zhang Tiezheng Sun |
| author_facet | Yingchang Pang Sibo Xu Gengxian Xiang Kaiqi Zhang Tiezheng Sun |
| author_sort | Yingchang Pang |
| collection | DOAJ |
| description | Abstract We report a rare case of anterior cruciate ligament (ACL) tear combined with acute avulsion fracture of the medial and lateral meniscal posterior roots in a 23-year-old male patient. The management strategy was focused on how to do arthroscopic trans-tibial pull-out fixation of the avulsed fracture fragment and ACL reconstruction simultaneously, avoiding the possibility of the tibia tunnel interference during drilling. At the 8-year postoperative follow-up, the patient demonstrated excellent knee function and returned to non-competitive football activities, and manual knee laxity tests were negative. Plain radiographs of the knee showed complete bone healing of the avulsed fracture fragment without osteophyte formation and joint space narrowing. Magnetic resonance imaging showed good ACL graft integrity, and the tibial fragment was connected with the native insertion site. |
| format | Article |
| id | doaj-art-3cdcd1d90ea64334997fb5e3838aa7ff |
| institution | Kabale University |
| issn | 1471-2474 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-3cdcd1d90ea64334997fb5e3838aa7ff2025-08-20T03:50:11ZengBMCBMC Musculoskeletal Disorders1471-24742025-07-012611710.1186/s12891-025-08793-8Anterior cruciate ligament reconstruction simultaneously with trans-tibial pull-out fixation of avulsion fracture of medial and lateral meniscus posterior roots: a case report and eight-year follow-upYingchang Pang0Sibo Xu1Gengxian Xiang2Kaiqi Zhang3Tiezheng Sun4Arthritis Clinic and Research Center, Peking University, People’s HospitalArthritis Clinic and Research Center, Peking University, People’s HospitalArthritis Clinic and Research Center, Peking University, People’s HospitalArthritis Clinic and Research Center, Peking University, People’s HospitalArthritis Clinic and Research Center, Peking University, People’s HospitalAbstract We report a rare case of anterior cruciate ligament (ACL) tear combined with acute avulsion fracture of the medial and lateral meniscal posterior roots in a 23-year-old male patient. The management strategy was focused on how to do arthroscopic trans-tibial pull-out fixation of the avulsed fracture fragment and ACL reconstruction simultaneously, avoiding the possibility of the tibia tunnel interference during drilling. At the 8-year postoperative follow-up, the patient demonstrated excellent knee function and returned to non-competitive football activities, and manual knee laxity tests were negative. Plain radiographs of the knee showed complete bone healing of the avulsed fracture fragment without osteophyte formation and joint space narrowing. Magnetic resonance imaging showed good ACL graft integrity, and the tibial fragment was connected with the native insertion site.https://doi.org/10.1186/s12891-025-08793-8Meniscal rootAvulsion fracturePull-out fixationAnterior cruciate ligament reconstruction |
| spellingShingle | Yingchang Pang Sibo Xu Gengxian Xiang Kaiqi Zhang Tiezheng Sun Anterior cruciate ligament reconstruction simultaneously with trans-tibial pull-out fixation of avulsion fracture of medial and lateral meniscus posterior roots: a case report and eight-year follow-up BMC Musculoskeletal Disorders Meniscal root Avulsion fracture Pull-out fixation Anterior cruciate ligament reconstruction |
| title | Anterior cruciate ligament reconstruction simultaneously with trans-tibial pull-out fixation of avulsion fracture of medial and lateral meniscus posterior roots: a case report and eight-year follow-up |
| title_full | Anterior cruciate ligament reconstruction simultaneously with trans-tibial pull-out fixation of avulsion fracture of medial and lateral meniscus posterior roots: a case report and eight-year follow-up |
| title_fullStr | Anterior cruciate ligament reconstruction simultaneously with trans-tibial pull-out fixation of avulsion fracture of medial and lateral meniscus posterior roots: a case report and eight-year follow-up |
| title_full_unstemmed | Anterior cruciate ligament reconstruction simultaneously with trans-tibial pull-out fixation of avulsion fracture of medial and lateral meniscus posterior roots: a case report and eight-year follow-up |
| title_short | Anterior cruciate ligament reconstruction simultaneously with trans-tibial pull-out fixation of avulsion fracture of medial and lateral meniscus posterior roots: a case report and eight-year follow-up |
| title_sort | anterior cruciate ligament reconstruction simultaneously with trans tibial pull out fixation of avulsion fracture of medial and lateral meniscus posterior roots a case report and eight year follow up |
| topic | Meniscal root Avulsion fracture Pull-out fixation Anterior cruciate ligament reconstruction |
| url | https://doi.org/10.1186/s12891-025-08793-8 |
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