Symptomatic Nonunion after a Tibial-Sided Posterior Cruciate Ligament Avulsion Fracture Treated with Open Repair: A Case Report

Jordan Johnson; Marco Gupton; Jonathan Schneider; Chenthuran Deivaraju

doi:10.2106/JBJS.CC.20.00618

Symptomatic Nonunion after a Tibial-Sided Posterior Cruciate Ligament Avulsion Fracture Treated with Open Repair: A Case Report

Jordan Johnson, Marco Gupton, Jonathan Schneider, Chenthuran Deivaraju

Orthopaedic Surgery

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Case:A 30-year-old man was in a motorcycle accident resulting in an avulsion fracture of the tibial insertion of the posterior cruciate ligament (PCL). After 19 months of nonoperative treatment, the patient presented with a nonunion and symptoms of pain and instability. He was treated with an open repair with screw fixation through a posterior approach. Six months postoperatively, the patient returned to his work as a heavy laborer with full range of motion and no instability.Conclusion:PCL avulsion fracture nonunion results in symptoms of swelling, pain, and instability. These symptoms can be treated with screw fixation through a posterior approach.

Original language	English (US)
Article number	e20.00618
Journal	JBJS case connector
Volume	11
Issue number	3
DOIs	https://doi.org/10.2106/JBJS.CC.20.00618
State	Published - Jul 28 2021

Bibliographical note

Publisher Copyright:
Copyright © 2021 by The Journal of Bone and Joint Surgery, Incorporated.

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abstract = "Case:A 30-year-old man was in a motorcycle accident resulting in an avulsion fracture of the tibial insertion of the posterior cruciate ligament (PCL). After 19 months of nonoperative treatment, the patient presented with a nonunion and symptoms of pain and instability. He was treated with an open repair with screw fixation through a posterior approach. Six months postoperatively, the patient returned to his work as a heavy laborer with full range of motion and no instability.Conclusion:PCL avulsion fracture nonunion results in symptoms of swelling, pain, and instability. These symptoms can be treated with screw fixation through a posterior approach.",

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AU - Deivaraju, Chenthuran

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AB - Case:A 30-year-old man was in a motorcycle accident resulting in an avulsion fracture of the tibial insertion of the posterior cruciate ligament (PCL). After 19 months of nonoperative treatment, the patient presented with a nonunion and symptoms of pain and instability. He was treated with an open repair with screw fixation through a posterior approach. Six months postoperatively, the patient returned to his work as a heavy laborer with full range of motion and no instability.Conclusion:PCL avulsion fracture nonunion results in symptoms of swelling, pain, and instability. These symptoms can be treated with screw fixation through a posterior approach.

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Symptomatic Nonunion after a Tibial-Sided Posterior Cruciate Ligament Avulsion Fracture Treated with Open Repair: A Case Report

Abstract

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