All-Arthroscopic Refixation of an Osteochondral Femoral Avulsion of the Anterior Cruciate Ligament with a Laxity-Minimizing Suture

Hauke Horstmann; Roman Karkosch; Jochen Plagge; Tomas Smith; Maximilian Petri

doi:10.2147/OAJSM.S397512

All-Arthroscopic Refixation of an Osteochondral Femoral Avulsion of the Anterior Cruciate Ligament with a Laxity-Minimizing Suture

Open Access J Sports Med. 2023 May 3:14:21-27. doi: 10.2147/OAJSM.S397512. eCollection 2023.

Authors

Hauke Horstmann¹, Roman Karkosch¹, Jochen Plagge¹, Tomas Smith¹, Maximilian Petri¹

Affiliation

¹ Department of Orthopedic Surgery, Hannover Medical School, Hannover, Germany.

Abstract

Purpose: Torn anterior cruciate ligaments in children are rare injuries. The incidence of concomitant avulsion fracture in the skeletally immature patient is high. Reports of arthroscopic reconstruction in the literature are sparse.

Case presentation: We present the case of a femoral avulsion fracture of the anterior cruciate ligament in a seven-year-old girl. The patient underwent arthroscopic refixation with Dynacord^TM Suture and Suture Button. At a follow-up of 8 weeks, the patient had free range of motion and a stable knee, with a negative Lachman- and Pivot-Shift-test in particular.

Conclusion: Refixation of femoral avulsion fracture can lead to good results. Open physes and size of the knee should be taken into account. Anatomic reconstruction is compulsory to receive bone on bone healing.

Keywords: anterior cruciate ligament; arthroscopy; femoral avulsion; refixation.

Publication types

Case Reports

Grants and funding

The authors received no financial support for the research, authorship, and/or publication of this article.