Arthroscopic Fixation of Osteochondral Avulsion Fracture of the Femoral Attachment of the Posterior Cruciate Ligament in an 82-Year-Old Patient: A Case Report

Geriatric Orthopaedic Surgery & Rehabilitation
Masakazu IshikawaNobuo Adachi

Abstract

Femoral avulsion fracture of the posterior cruciate ligament (PCL) is less common compared to the tibial side. Especially, femoral avulsion in an elderly patient is an extremely rare condition. Until now, there is no report that describes its treatment and clinical outcome in elderly patients. We demonstrate an 82-year-old female who presented with osteochondral avulsion fracture of the femoral attachment of the PCL. The osteochondral fragment was fixed with an arthroscopic transfemoral suture technique. After treatment, the pain was improved and the patient achieved previous daily activity within 6 weeks. After 6 months, plain X-ray and computed tomography scans demonstrated consolidation of osteochondral fragment. The Lysholm score was 78 points at final office visit. This simple and less invasive approach is useful for pain relief and earlier return to daily activity in an elderly patient with osteoporosis.

References

Apr 3, 2003·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Glen RossArnold Scheller
Jun 11, 2005·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·E HesseC Krettek
Dec 6, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·In-Seop Park, Sung-Jae Kim
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Aug 2, 2011·The American Journal of Sports Medicine·James E VoosThomas L Wickiewicz
Oct 12, 2012·Clinical Orthopaedics and Related Research·Zhihong XuQing Jiang

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