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Femoral Avulsion of the Anterior Cruciate Ligament in a Multiligament Setting: A Unique Case
Vikram Arun Mhaskar, MS, MCh, Jitendra Mahehswari, MS, and Manjeet Sansanwal, MS
Knee & Shoulder Clinic, New Delhi, India
Correspondence to: Vikram Arun Mhaskar, MS, MCh
Knee & Shoulder Clinic, F7 East Of Kailash, New Delhi 11065, India
Tel: +91-9818806857
E-mail: drvikrammhaskar@gmail.com
Received: November 7, 2018; Revised: December 25, 2018; Accepted: January 2, 2019; Published online: March 18, 2019.
© Korean Knee Society. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
\Anterior cruciate ligament (ACL) femoral avulsions are a rare entity mainly seen in children. We describe a unique case of a bony ACL avulsion with a medial collateral ligament (MCL) and lateral meniscus (LM) tear in a 37-year-old patient who sustained a two-wheeler accident. The ACL femoral avulsion was fixed arthroscopically using a Knee Scorpion and a FiberTape fixed over a suture disc on the lateral cortex. The MCL was repaired with an internal brace using a FiberTape and two SwiveLocks and the torn LM was repaired using all-inside sutures. At 2 years of follow-up, the fragment was united, knee range of motion was 0° to 130°, and Knee Society Score was 98. This is the first case report of a femoral avulsion of the ACL combined with an MCL injury and a meniscus tear where all three were repaired with a unique technique and good results were obtained.
Keywords: Knee, Anterior cruciate ligament, Avulsion, Arthroscopy, Repair


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