case_images: PMC11251802_01
case_images: MRI of Case 1. The sagittal view shows PCL avulsion from the posterior tibial plateau. Growth cartilages are visible on both femur and tibia.
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case_images: PMC11251802_01_CRIOR2024-3137345.001.jpg
case_images: fig1
case_images: A CT and MRI confirmed the tibial bony avulsion of the LCP and ruled out concomitant meniscal or other ligamentous injury (Figures 1, 2, and 3).
case_images: CT scan of Case 1. The 3D reconstruction shows the avulsed tibial fragment from the posterior tibial plateau.
case_images: CRIOR2024-3137345.002.jpg
case_images: PMC11251802_01_CRIOR2024-3137345.002.jpg
case_images: fig2
case_images: A CT and MRI confirmed the tibial bony avulsion of the LCP and ruled out concomitant meniscal or other ligamentous injury (Figures 1, 2, and 3).
case_images: CT scan of case 1. The sagittal scan shows the displaced avulsed fragment.
case_images: CRIOR2024-3137345.003.jpg
case_images: PMC11251802_01_CRIOR2024-3137345.003.jpg
case_images: fig3
case_images: A CT and MRI confirmed the tibial bony avulsion of the LCP and ruled out concomitant meniscal or other ligamentous injury (Figures 1, 2, and 3).
case_images: Open approach of case 1. The interval between the medial gastrocnemius and semimembranosus was developed. The neurovascular bundle was protected by the medial gastrocnemius, which was retracted laterally. The capsule was incised longitudinally and was exposed using two retractors to the posteromedial tibial plateau.
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case_images: fig4
case_images: The capsule was incised longitudinally, and the posterior tibial eminence was exposed using retractors (Figure 4).
case_images: RX lateral view of Case 1. Metal anchor inserted at LCP tibial insertion.
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case_images: fig5
case_images: One anchor was found to be sufficient to ensure correct tensioning and stability of ligament repair (Figure 5).
case_images: MRI of Case 1. The sagittal view 2 months after surgery shows the ligament inserted at its footprint but detached.
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case_images: fig6
case_images: The PCL appeared continuous and well tensioned (Figure 6).
case_images: PMC11251802_02
case_images: CT scan of Case 2. The 3D reconstruction shows the avulsed tibial fragment from the posterior tibial plateau.
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case_images: PMC11251802_02_CRIOR2024-3137345.007.jpg
case_images: fig7
case_images: CT scan with 3D reconstructions showed a comminuted LCP bony tibial avulsion and a bony femoral avulsion of the MCL (Figures 7 and 8).
case_images: CT scan of Case 2. The coronal scan shows femoral Segond fracture at the proximal insertion of LCM.
case_images: CRIOR2024-3137345.008.jpg
case_images: PMC11251802_02_CRIOR2024-3137345.008.jpg
case_images: fig8
case_images: CT scan with 3D reconstructions showed a comminuted LCP bony tibial avulsion and a bony femoral avulsion of the MCL (Figures 7 and 8).
case_images: Intraoperative fluoroscopy of Case 2. Temporary stabilization with K-wire.
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case_images: fig9
case_images: The main fragment was reduced and temporarily fixed using a 3-mm K-wire with fluoroscopic assistance (Figure 9).
case_images: Postoperative A-P radiography of Case 2.
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case_images: PMC11251802_02_CRIOR2024-3137345.010.jpg
case_images: fig10
case_images: The patient was then turned supine, and the MCL and the posteromedial capsule were repaired using a medial skin incision with a 5-mm double-stranded high-strength metal anchor (Figure 10).
case_images: MRI at 2-year follow-up of Case 2. The LCP is inserted and continuous.
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case_images: PMC11251802_02_CRIOR2024-3137345.011.jpg
case_images: fig11
case_images: Three years after surgery, the patient underwent a new MRI showing a continuous and well-tensioned PCL (Figure 11).