PMC5603135_01
Anteroposterior (a) and lateral (b) preoperative radiographs showing tibial eminence and reverse Segond fractures.
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Tibial eminence fracture and reverse Segond fracture were seen on anteroposterior and lateral radiographs (Figure 1).
Computed tomography: (a) coronal image showing tibial eminence and reverse Segond fractures and (b) axial image showing reverse Segond and anteromedial rim fractures.
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Computed tomography confirmed the radiographic findings and revealed an anteromedial tibial rim fracture (Figure 2).
Magnetic resonance imaging showing intact PCL (a), avulsion of the tibial attachment of the ACL (b), reverse Segond fracture (c), and intact superficial MCL (d).
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Magnetic resonance imaging showed avulsion of the tibial attachment of the ACL and intact PCL (Figure 3).
Anteroposterior (a) and lateral (b) postoperative radiographs. Medial and anteromedial rim fractures were repaired using nonabsorbable transosseous sutures. Tibial attachment of ACL was reduced and fixed in place using pullout sutures.
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ACL were achieved using nonabsorbable pullout sutures (Figure 4). A hinged knee brace fixed in 15  flexion was applied postoperatively.