Primary ACL Repair of a Chronic ACL Femoral Avulsion with 2-Year Clinical and Radiographic Outcomes: A Case Report.

JBJS Case Connector
Thomas B LynchIvan J Antosh

Abstract

There has been a reemergence of anterior cruciate ligament (ACL) repair. We present the unique case of an ACL repair in a service member with a chronic tear. The patient went on to have a successful outcome with return to full activities without symptoms and functional outcomes scores equal to preinjury levels. This case demonstrates a preserved ACL remnant after an ACL femoral avulsion secondary to scarring to the posterior cruciate ligament. ACL repair can produce excellent outcomes in the right population, and injury chronicity may not necessarily preclude successful repair in the setting of good-quality ACL remnant.

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