Year: 2024 | Month: April | Volume: 11 | Issue: 4 | Pages: 22-27
DOI: https://doi.org/10.52403/ijrr.20240403
Anterior Cruciate Ligament Reconstruction in Tibial Eminence Avulsion Fracture: A Case Series
Armansyah Nur Dewantara1, I Gusti Ngurah Wien Aryana2, Febyan3
1Resident of Orthopaedics and Traumatology Department, 2Consultant of Orthopaedics and Traumatology Department,
Faculty of Medicine, Udayana University, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Indonesia
Corresponding Author: Armansyah Nur Dewantara
ABSTRACT
Introduction: Ruptures of the anterior cruciate ligament (ACL) are common orthopedic injuries, especially among patients participating in sports. Anterior cruciate ligament (ACL) avulsion fracture or tibial eminence avulsion fracture is a type of avulsion fracture of the knee. This article describes several cases of ACL rupture management with eminence avulsion.
Case report: This case series describes 3 cases of ACL tear with eminence avulsion. The first patient was a 31-year-old female with right knee pain since 6 months ago after a traumatic fall from a motorcycle. The second patient, a 16-year-old girl with a history of bending her legs inward during exercise. The third patient is a 49-year-old female with a history of accidents and complaints of knee pain. All three patients found ACL tear accompanied by an avulsion fracture on the tibial eminence and then undergo ACL reconstruction.
Discussion: The most common mechanism of trauma, which leads to a disruption of ACL, is a trauma forcing the knee in hyperextension combined with valgus-external rotation. At times, these lesions can occur in adults; in this instance, the main cause is high-energy trauma, such as road accidents. Based on case reports and previous research, the management approach in this case is still debatable in children and adults and requires a specific approach in each case.
Conclusion: The management of ACL reconstruction in patients with tibial eminence avulsion involvement is still a challenge for orthopedic surgeon. Given the rarer cases, a different approach is needed in young and adult cases. Each case requires proper management to improve the patient's functional outcome and their quality of life.
Keywords: anterior cruciate ligament reconstruction, avulsion fracture, tibial eminence avulsion
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