Open AccessApproach to Manage Post-traumatic Revision Anterior Cruciate Ligament Reconstruction Associated with a Hoffa Fracture of the Medial Femoral Condyle: A Case Report
Author(s) -
Nihar Ranjan Mishra,
Santosh Kumar Sahu,
Dattatreya Kar
Publication year - 2022
Publication title -
journal of health science and medical research (jhsmr)
Language(s) - English
Resource type - Journals
ISSN - 2630-0559
DOI - 10.31584/jhsmr.2022873
Subject(s) - medicine , magnetic resonance imaging , anterior cruciate ligament , anterior cruciate ligament reconstruction , surgery , tears , fixation (population genetics) , arthroscopy , femoral condyle , anatomy , radiology , cartilage , population , environmental health
We present our experience of managing a case of revision anterior cruciate ligament (ACL) reconstruction associated with a Hoffa fracture involving the medial femoral condyle (MFC). A 37-year-old male patient was referred to our hospital following a road traffic accident. The patient had a history of ACL reconstruction surgery done in the same 6 years previously in our hospital. Preoperative radiology suggested a Hoffa fracture involving the MFC. An magnetic resonance imaging suggested a full thickness tear of the reconstructed ACL and partial thickness tears of both the PCL and MCL. This case was managed with arthroscopic reconstruction of the ACL with an ipsilateral peroneus longus autograft and fixation of the femoral condyle by a paramedial approach with cannulated cancellous screws.