case_images: PMC10164377_01
case_images: MRI, coronal (a) and sagittal (b) plane; the black arrow marks the femoral avulsion.
case_images: OAJSM-14-21-g0001.jpg
case_images: PMC10164377_01_OAJSM-14-21-g0001.jpg
case_images: f0001
case_images: Magnetic resonance imaging (MRI) revealed a displaced femoral avulsion fracture of the ACL (Figure 1).
case_images: Arthroscopy, notch; ACL tear.
case_images: OAJSM-14-21-g0002.jpg
case_images: PMC10164377_01_OAJSM-14-21-g0002.jpg
case_images: f0002
case_images: The ACL was proved to be lax with the expected femoral avulsion (Figures 2 and 3).
case_images: Arthroscopy, notch; ACL avulsion.
case_images: OAJSM-14-21-g0003.jpg
case_images: PMC10164377_01_OAJSM-14-21-g0003.jpg
case_images: f0003
case_images: The ACL was proved to be lax with the expected femoral avulsion (Figures 2 and 3).
case_images: Arthroscopy, notch; femoral avulsion site.
case_images: OAJSM-14-21-g0004.jpg
case_images: PMC10164377_01_OAJSM-14-21-g0004.jpg
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case_images: USA). Using a 5.5 mm offset drilling guide, a beath pin was inserted at the anatomic femoral insertion site of the ACL via the anteromedial portal (Figure 4).
case_images: Arthroscopy, notch; ACL avulsion looped with DynacordTM suture.
case_images: OAJSM-14-21-g0005.jpg
case_images: PMC10164377_01_OAJSM-14-21-g0005.jpg
case_images: f0005
case_images: Using an arthroscopic lasso, 2 strands of No. 2 DynacordTM (DePuy Mitek, Raynham, MA, USA) non-absorbable sutures were shuttled through the proximal part of the ACL stump (Figure 5).
case_images: Arthroscopy, notch; anatomically reducted ACL.
case_images: OAJSM-14-21-g0006.jpg
case_images: PMC10164377_01_OAJSM-14-21-g0006.jpg
case_images: f0006
case_images: ACL stump. At this point, subtle manipulation of the avulsed osteochondral fragment was performed with a probe and arthroscopic forceps to ensure anatomic reduction of the fragment into its original site (Figures 6 and 7).
case_images: Postoperative x-ray, coronal (a) and sagittal (b) plane.
case_images: OAJSM-14-21-g0007.jpg
case_images: PMC10164377_01_OAJSM-14-21-g0007.jpg
case_images: f0007
case_images: ACL stump. At this point, subtle manipulation of the avulsed osteochondral fragment was performed with a probe and arthroscopic forceps to ensure anatomic reduction of the fragment into its original site (Figures 6 and 7).