Anterior cruciate ligament reconstruction with retained internal fixation hardware for treating Schatzker type V tibial plateau fracture: Two case reports

Satomi Ugawa; Shuhei Hiyama; Tsuneari Takahashi; Naoki Yamaguchi; Takuya Yamanaka; Tomohiro Matsumura; Katsushi Takeshita

doi:10.1016/j.tcr.2023.100845

Anterior cruciate ligament reconstruction with retained internal fixation hardware for treating Schatzker type V tibial plateau fracture: Two case reports

Trauma Case Rep. 2023 May 16:46:100845. doi: 10.1016/j.tcr.2023.100845. eCollection 2023 Aug.

Authors

Satomi Ugawa¹, Shuhei Hiyama², Tsuneari Takahashi³, Naoki Yamaguchi⁴, Takuya Yamanaka⁵, Tomohiro Matsumura⁶, Katsushi Takeshita²

Affiliations

¹ Department of Orthopaedic Surgery, Japan Community Health Care Organization Tokyo Takanawa Hospital, Tokyo, Japan.
² Department of Orthopedic Surgery, School of Medicine, Jichi Medical University, Shimotsuke, Japan.
³ Department of Orthopedic Surgery, Ishibashi General Hospital, Shimotsuke, Japan.
⁴ Department of Orthopedic Surgery, Nasu Minami Hospital, Karasuyama, Japan.
⁵ Department of Orthopedic Surgery, Haga Red Cross Hospital, Moka, Japan.
⁶ Department of Emergency and Critical Care Medicine, Jichi Medical University, Shimotsuke, Japan.

Abstract

Despite the high incidence of anterior cruciate ligament injury in patients with tibial plateau fractures, we found no reports about anterior cruciate ligament reconstruction with retained internal fixation hardware for these fractures. Herein, we report 2 male patients with Schatzker type V tibial plateau fractures and describe the use of retained hardware for internal fixation in tibia. The patients underwent anterior cruciate ligament reconstruction using outside-in technique for the femoral tunnel. Throughout the follow-up, no radiological symptoms of suspected knee osteoarthritis were observed. Accordingly, surgical intervention can be reduced by creating an independent femoral tunnel.

Keywords: Anterior cruciate ligament injury; Anterior cruciate ligament reconstruction; Case report; Locking plate; Tibial plateau fracture.

Publication types

Case Reports