Progress of non-united anterior cruciate ligament tibial avulsion fracture

doi:10.3877/cma.j.issn.1674-134X.2024.04.013

Abstract

Abstract:

Non-united anterior cruciate ligament tibial avulsion fracture refers to the formation of fibrous osteophytes, soft tissue entrapment, and anterior cruciate ligament (ACL) dysfunction in the fracture gap due to untreated or poorly healed fracture in the acute phase. The fracture is characterized by impaired knee extension and instability of the knee joint. This type of fracture is difficult to manage, mainly because of the difficulty of surgical repositioning and restoration of ACL tension, extensive adhesions and hyperplasia of the fracture mass and ligament in the knee joint prevent surgical repositioning and fixation. Based on these problems, a large number of advances in surgical modalities for the treatment of non-united anterior cruciate ligament tibial avulsion fracture have emerged in recent years, but there is a lack of summary and comparison. This review introduced the common presentations and diagnostic criteria of this disease and review in detail the various surgical procedures that have been performed, including open reduction internal fixation (ORIF), arthroscopic reduction internal fixation (ARIF), arthroscopic reduction anchor fixation, debridement and abrasion of the anterior spine and ACL reconstruction. This article made a review of the above problems to provide reference for clinical work.

Key words: Knee Fractures, Anterior cruciate ligament injuries, Fractures, ununited

Wei Yu, Yikai Wang, Wenbo Yang, Chunqing Meng, Hong Wang, Wei Huang. Progress of non-united anterior cruciate ligament tibial avulsion fracture[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2024, 18(04): 532-537.

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