case_images: PMC11823839_01
case_images: Magnetic resonance imaging of affected right knee. (A) Complete anterior cruciate ligament tear. (B) Absent posterior horn of medial meniscus suggestive of bucket handle tear of medial meniscus
case_images: JOCR-15-42-g001.jpg
case_images: PMC11823839_01_JOCR-15-42-g001.jpg
case_images: F1
case_images: The magnetic resonance imaging confirmed the complex ACL tear of the Right knee with a bucket handle tear of the medial meniscus, as seen in Fig. 1.
case_images: Alignment of lower limb (A) Clinical alignment of the lower limbs showing genu valgum. (B) Normal parameters on scanogram (C and D) scanogram parameters of the patient.
case_images: JOCR-15-42-g002.jpg
case_images: PMC11823839_01_JOCR-15-42-g002.jpg
case_images: F2
case_images: The scanogram and clinical alignment of the patient can be seen in Fig. 2.
case_images: Surgical technique (A) Skin incision (B) Osteotomy site. (C) Distracting the osteotomy site (D and E) Plate in situ with K wire in the anterior cruciate ligament femoral tunnel (F) Final plate construct.
case_images: JOCR-15-42-g003.jpg
case_images: PMC11823839_01_JOCR-15-42-g003.jpg
case_images: F3
case_images: Gradually and carefully, a gap over the osteotomy site was created using a lamina spreader, as seen in Fig. 3.
case_images: Arthroscopic image of anterior cruciate ligament (ACL) tear intraoperative and reconstruction of ACL with semitendinosus graft.
case_images: JOCR-15-42-g004.jpg
case_images: PMC11823839_01_JOCR-15-42-g004.jpg
case_images: F4
case_images: ACL tear seen in Fig. 4, a bucket handle tear of the medial meniscus, and chondral injury in the medial femur condyle, graft harvesting was performed. A semitendinosus graft was obtained and prepared into a four-fold configuration, measuring 7 cm long and 8 mm in diameter. The reconstructed ACL can be seen in Fig. 4.
case_images: Post-operative radiograph of the patient showing distal femoral osteotomy with plating and endobutton.
case_images: JOCR-15-42-g005.jpg
case_images: PMC11823839_01_JOCR-15-42-g005.jpg
case_images: F5
case_images: After 6 weeks, the patient was permitted to bear full weight after observing signs of bony union on a post-operative radiograph, as in Fig. 5.
case_images: X-ray after 3 months, showing signs of union.
case_images: JOCR-15-42-g006.jpg
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case_images: F6
case_images: There were signs of the union in follow-up, as seen in Fig. 6 and 7, during the post-operative evaluation of the patient.
case_images: X-ray after 1 year showing the union of the distal femur.
case_images: JOCR-15-42-g007.jpg
case_images: PMC11823839_01_JOCR-15-42-g007.jpg
case_images: F7
case_images: There were signs of the union in follow-up, as seen in Fig. 6 and 7, during the post-operative evaluation of the patient.
case_images: Post-operative improvement (A) Pre-operative alignment (B) 1-year follow-up scanogram [C] 1-year clinical follow-up.
case_images: JOCR-15-42-g008.jpg
case_images: PMC11823839_01_JOCR-15-42-g008.jpg
case_images: F8
case_images: The values on the sonogram were compared with pre-operative measurements and the results are illustrated in Fig. 8.