Two Cases of Contact Anterior Cruciate Ligament Rupture Combined with a Posterolateral Tibial Plateau Fracture
Background. The combined occurrence of ACL rupture with a posterolateral tibial plateau fracture has not yet been reported. Two cases of such injuries have been treated in our department for the past three years. Findings. The two patients both suffered injuries from traffic accidents. The radiologi...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/250487 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850177630924439552 |
|---|---|
| author | Liangjun Jiang Haobo Wu Shigui Yan |
| author_facet | Liangjun Jiang Haobo Wu Shigui Yan |
| author_sort | Liangjun Jiang |
| collection | DOAJ |
| description | Background. The combined occurrence of ACL rupture with a posterolateral tibial plateau fracture has not yet been reported. Two cases of such injuries have been treated in our department for the past three years. Findings. The two patients both suffered injuries from traffic accidents. The radiological examinations showed a ruptured ACL with fracture of the posterolateral tibial plateau. Reconstruction of the ACL was performed via a standard anatomical single bundle ACL reconstruction technique with autologous tendon by arthroscopy. A posterolateral tibia plateau approach was used to reduce and fix the fractured area with the aid of lag screws. After a one-year follow-up, the two patients recovered well and physical examinations showed full knee range of motion with no evidence of ACL instability. Conclusions. The cause of this type injury of ACL rupture with a posterolateral tibial plateau fracture was thought to be by a violent internal tibial rotation/anterior tibial translation without any valgus or varus knee force mechanism during the accident. Satisfactory clinical results were achieved with a standard anatomical single bundle ACL reconstruction by arthroscopy and ORIF for the posterolateral plateau fracture. Both patients reported excellent knee function and fracture healing. |
| format | Article |
| id | doaj-art-c3f5c35afcdd42d8b813062f6c5a4c65 |
| institution | OA Journals |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-c3f5c35afcdd42d8b813062f6c5a4c652025-08-20T02:18:56ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/250487250487Two Cases of Contact Anterior Cruciate Ligament Rupture Combined with a Posterolateral Tibial Plateau FractureLiangjun Jiang0Haobo Wu1Shigui Yan2Orthopaedics, The 2nd Affiliated Hospital, Medical College, Zhejiang University, Jiefang Road, No. 88, Hangzhou, Zhejiang, ChinaOrthopaedics, The 2nd Affiliated Hospital, Medical College, Zhejiang University, Jiefang Road, No. 88, Hangzhou, Zhejiang, ChinaOrthopaedics, The 2nd Affiliated Hospital, Medical College, Zhejiang University, Jiefang Road, No. 88, Hangzhou, Zhejiang, ChinaBackground. The combined occurrence of ACL rupture with a posterolateral tibial plateau fracture has not yet been reported. Two cases of such injuries have been treated in our department for the past three years. Findings. The two patients both suffered injuries from traffic accidents. The radiological examinations showed a ruptured ACL with fracture of the posterolateral tibial plateau. Reconstruction of the ACL was performed via a standard anatomical single bundle ACL reconstruction technique with autologous tendon by arthroscopy. A posterolateral tibia plateau approach was used to reduce and fix the fractured area with the aid of lag screws. After a one-year follow-up, the two patients recovered well and physical examinations showed full knee range of motion with no evidence of ACL instability. Conclusions. The cause of this type injury of ACL rupture with a posterolateral tibial plateau fracture was thought to be by a violent internal tibial rotation/anterior tibial translation without any valgus or varus knee force mechanism during the accident. Satisfactory clinical results were achieved with a standard anatomical single bundle ACL reconstruction by arthroscopy and ORIF for the posterolateral plateau fracture. Both patients reported excellent knee function and fracture healing.http://dx.doi.org/10.1155/2015/250487 |
| spellingShingle | Liangjun Jiang Haobo Wu Shigui Yan Two Cases of Contact Anterior Cruciate Ligament Rupture Combined with a Posterolateral Tibial Plateau Fracture Case Reports in Orthopedics |
| title | Two Cases of Contact Anterior Cruciate Ligament Rupture Combined with a Posterolateral Tibial Plateau Fracture |
| title_full | Two Cases of Contact Anterior Cruciate Ligament Rupture Combined with a Posterolateral Tibial Plateau Fracture |
| title_fullStr | Two Cases of Contact Anterior Cruciate Ligament Rupture Combined with a Posterolateral Tibial Plateau Fracture |
| title_full_unstemmed | Two Cases of Contact Anterior Cruciate Ligament Rupture Combined with a Posterolateral Tibial Plateau Fracture |
| title_short | Two Cases of Contact Anterior Cruciate Ligament Rupture Combined with a Posterolateral Tibial Plateau Fracture |
| title_sort | two cases of contact anterior cruciate ligament rupture combined with a posterolateral tibial plateau fracture |
| url | http://dx.doi.org/10.1155/2015/250487 |
| work_keys_str_mv | AT liangjunjiang twocasesofcontactanteriorcruciateligamentrupturecombinedwithaposterolateraltibialplateaufracture AT haobowu twocasesofcontactanteriorcruciateligamentrupturecombinedwithaposterolateraltibialplateaufracture AT shiguiyan twocasesofcontactanteriorcruciateligamentrupturecombinedwithaposterolateraltibialplateaufracture |