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CASE REPORT article
Front. Surg.
Sec. Orthopedic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1501740
This article is part of the Research Topic Innovations in Knee Preservation and Arthroplasty: Advancing Techniques and Technologies for Enhanced Surgical Outcomes View all 3 articles
A new fixation method for Anterior Cruciate Ligament Femoral Avulsion Fracture: A Rare Case Report and Literature Review
Provisionally accepted- 1 Lishui City People's Hospital, Lishui, China
- 2 Yunhe People's Hospital, Lishui, China
Purpose: To address the clinical challenges of femoral avulsion fractures of the anterior cruciate ligament (ACL), which are rare and lack a consensus on optimal treatment, through the presentation of a novel minimally invasive arthroscopic technique.Methods: An 18-year-old female with an ACL femoral avulsion fracture and a medial collateral ligament (MCL) rupture underwent arthroscopic anchor stitching using a composite absorbable bone anchor. This technique aimed to achieve anatomical reduction and support early functional recovery.Results: The surgical intervention achieved successful anatomical reduction. At the 6-month follow-up, the patient exhibited full knee mobility, joint stability, and resumed normal activities without discomfort. By the final 17-month follow-up, computed tomography (CT) confirmed complete fracture union, with preserved joint architecture and no degenerative changes. The knee remained stable and pain-free, demonstrating sustained efficacy of the technique.Conclusion: The arthroscopic anchor stitching technique is a viable, minimally invasive option for ACL femoral avulsion fractures, promoting rapid recovery and excellent long-term outcomes. This case highlights the importance of early recognition and anatomical fixation for such injuries.
Keywords: ACL injury, Femoral avulsion fracture, Arthroscopy, case report, Knee Injuries
Received: 25 Sep 2024; Accepted: 18 Mar 2025.
Copyright: © 2025 Shen, Hong, Zhou, Wang, Ye and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Bo Wang, Lishui City People's Hospital, Lishui, China
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