PMC6029463_01
An anteroposterior radiograph of the patient's left knee demonstrating a Segond fracture.
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Radiographs were obtained and revealed a left knee Segond fracture (Figure 1).
A T2 coronal MRI of the patient's left knee demonstrating a grade III lateral collateral ligament tear with retraction.
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Left knee imaging demonstrated the Segond fracture along with a grade III lateral collateral ligament (LCL) tear with retraction (Figure 2), a grade II tear of the popliteus tendon and anterior cruciate ligament (ACL) (Figure 3), and a grade I medial collateral ligament (MCL) injury (Figure 4), as well as partial thickness tears of the biceps femoris and vastus medialis.
A T2 sagittal MRI of the patient's left knee demonstrating a grade II partial thickness tear of the anterior cruciate ligament.
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Left knee imaging demonstrated the Segond fracture along with a grade III lateral collateral ligament (LCL) tear with retraction (Figure 2), a grade II tear of the popliteus tendon and anterior cruciate ligament (ACL) (Figure 3), and a grade I medial collateral ligament (MCL) injury (Figure 4), as well as partial thickness tears of the biceps femoris and vastus medialis.
A T2 coronal MRI of the patient's left knee showing a grade I MCL injury with associated subchondral edema in the medial condyle.
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Left knee imaging demonstrated the Segond fracture along with a grade III lateral collateral ligament (LCL) tear with retraction (Figure 2), a grade II tear of the popliteus tendon and anterior cruciate ligament (ACL) (Figure 3), and a grade I medial collateral ligament (MCL) injury (Figure 4), as well as partial thickness tears of the biceps femoris and vastus medialis.
A T2 coronal MRI of the patient's right knee demonstrating a grade III MCL tear with partial extrusion of the medial meniscus.
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Right knee imaging revealed a grade III tear of the ACL and MCL (Figure 5), grade II tears of the posterior cruciate ligament (PCL) (Figure 6), LCL, and popliteus tendon, and a medial meniscus tear.
A T2 sagittal MRI of the patient's right knee demonstrating a grade II PCL tear.
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Right knee imaging revealed a grade III tear of the ACL and MCL (Figure 5), grade II tears of the posterior cruciate ligament (PCL) (Figure 6), LCL, and popliteus tendon, and a medial meniscus tear.
A postoperative anteroposterior and lateral radiograph of the patient's left knee following ACL reconstruction with a hamstring autograft augmented with an allograft, posterolateral corner reconstruction with an allograft, and repair of the native avulsed LCL and ALL with suture anchors.
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The procedure included ACL reconstruction with a hamstring autograft augmented with an allograft, PLC reconstruction utilizing a TA allograft, and repair of the native avulsed LCL and ALL with suture anchors (Figure 7).
A postoperative anteroposterior and lateral radiograph of the patient's right knee following ACL reconstruction with a bone-tendon-bone autograft, PCL reconstruction with an allograft, MCL repair with additional allograft reconstruction, posterolateral corner reconstruction with an allograft, and repair of the posterior horn of the medial meniscus.
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TA allograft, and repair of the posterior horn of the medial meniscus (Figure 8). The lateral exposure for the PLC reconstruction was performed first, and the blind-ended sockets and fibular tunnel were drilled.
Timeline of the patient's surgical procedures and rehabilitation course.
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At one year post-op, the patient had returned to jogging and playing basketball recreationally and was able to participate in strenuous work (Table 2, Figure 9).