CASE REPORT article
Front. Surg.
Sec. Orthopedic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1598881
This article is part of the Research TopicBeyond Standardization in Knee Surgery: Time to Think PersonalizedView all articles
Transosseous suture in situ treatment of a femoral anterior cruciate ligament avulsion fracture in a 30-year-old male: a case report and review of the literature
Provisionally accepted
- 1Shenzhen Hospital of Guangzhou University of Chinese Medicine, Shenzhen, China
- 2The Sixth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen, China
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Background: In ACL avulsion injuries, the end of the avulsion fracture is often at the tibia side. Femoral ACL injuries typically involve mid-substance ligament tears rather than bony avulsions. Whereas in previous case reports, femoral end avulsion fractures occurred more often in skeletally immature patients.Case presentation: In this case report, we present a 30-year-old male patient who suffered an ACL femoral-sided avulsion fracture that was treated arthroscopically with transosseous suture in situ technique. Avulsed fragment was stitched back to their normal anatomical positions in the surgery.After the surgery, the patient underwent a standard ACL rehabilitation programme. three months after the surgery, the MRI showed good ACL morphology. At the one-year follow-up, he showed no signs of pain, limitation or instability of motion. Physical examination showed intact with normal axial shift and lachman tests to evaluate the effectiveness of the procedure.The transosseous suture in situ technique is an effective and precise treatment for ACL avulsion fracture, Which should be considered based on the location of ligament injury and the integrity of the fragment.
Keywords: Anterior Cruciate Ligament, femoral-side, Avulsion fracture, transosseous suture in situ, case report
Received: 24 Mar 2025; Accepted: 13 Jun 2025.
Copyright: © 2025 Liufu, Hou, Xiao, Lv and Yang. 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: Junxing Yang, Shenzhen Hospital of Guangzhou University of Chinese Medicine, Shenzhen, 518033, China
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