Strategies in Trauma and Limb Reconstruction

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VOLUME 8 , ISSUE 3 ( November, 2013 ) > List of Articles

CASE REPORT

Arthroscopically assisted reduction and internal fixation of a femoral anterior cruciate ligament osteochondral avulsion fracture in a 14-year-old girl via transphyseal inside-out technique

Ronny Langenhan, Matthias Baumann, Bernd Hohendorff, Axel Probst, Per Trobisch

Keywords : Anterior cruciate ligament, Skeletally immature, Femoral avulsion fracture, Arthroscopic reduction and internal fixation

Citation Information : Langenhan R, Baumann M, Hohendorff B, Probst A, Trobisch P. Arthroscopically assisted reduction and internal fixation of a femoral anterior cruciate ligament osteochondral avulsion fracture in a 14-year-old girl via transphyseal inside-out technique. 2013; 8 (3):193-197.

DOI: 10.1007/s11751-013-0175-6

License: CC BY-NC-SA 4.0

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2013; The Author(s).


Abstract

Femoral avulsion fracture of the anterior cruciate ligament (ACL) in children and adolescents is rare, and its arthroscopic treatment is even more so. A femoral avulsion fracture of the ACL of a 14-year-old girl was arthroscopically reduced and fixed by a Kirschner wire (K-wire) via an inside-out technique. A 1.4-mm K-wire was drilled inside-out into the osseous defect of the lateral femoral condyle under arthroscopic visualization. The avulsed fragment was reduced and then drilled retrograde by the wire. After bending the intra-articular visible end of the K-wire by a knot pusher, the fragment was gently fixed by pulling the wire from outside. At 24 months, both knee stability and range of motion were the same in the operated and the healthy opposite leg. Magnetic resonance imaging evaluation and conventional radiographs showed an intact ACL without detectable disturbance in the growth plate. Only seven cases of a proximal avulsion of the ACL in children and adolescents have been published. Six were treated by open reduction and internal fixation, one by arthroscopic reduction without fixation.


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