title: Arthroscopically assisted reduction of a lateral femoral notch in acute tear of the anterior cruciate ligament.
abstract: We report the case of a 20-year-old soccer player who suffered a tear of the anterior cruciate ligament with a depression fracture of the lateral femoral condyle. In addition to repairing the ligament we were able to arthroscopically reduce the depression fracture using a bioabsorbable screw. We tamped the surrounding cancellous bone with dilatators and chisels to create a bearing for an interference screw. This prepared for the placing of the screw and resulted in a sufficient reshaping of the condyle. We then inserted a threaded bioabsorbable interference screw into the lateral condyle under arthroscopic guidance to reline the fracture and reduce joint incongruity. Postoperative magnetic resonance imaging showed a significant reduction of the fracture.
authors.affiliation: Department of Arthroscopic Surgery, Marienkrankenhaus Orthopedic Hospital, Düsseldorf, Germany.
authors.forename: Philip A
authors.initials: PA
authors.lastname: Sadlo
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Nebelung
mesh_terms: D020341:Absorbable Implants; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001182:Arthroscopy; D001863:Bone Screws; D005264:Femoral Fractures / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods; D012916:Soccer / Q000293:injuries*; D013710:Tendons / Q000637:transplantation