Skip to main content

Advertisement

Log in

Delayed recurrent hemarthrosis after staple fixation of tibial avulsion fracture of the posterior cruciate ligament: a case report

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

This study reports a case of unusual vascular complication related to the staple fixation for the tibial avulsion fracture of the posterior cruciate ligament (PCL). The patient, who experienced recurrent hemarthrosis 12 months after staple fixation for the avulsion fracture of the PCL, was successfully managed by removing the staple and suturing the bleeding focus of the popliteal artery. Injury to the popliteal artery by the prominent staples could be the culprit causing the recurrent hemarthrosis. This type of delayed popliteal artery injury should be kept in mind in open reduction and internal fixation for the tibial avulsion fracture of the PCL.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Bisson LJ, Clancy WG Jr (2001) Posterior cruciate ligament injuries. In: Insall JN, Scott WNs (eds). Surgery of the knee.Churchill Livingstone Philadelphia, pp 879–891

    Google Scholar 

  2. Burks RT, Schaffer JJ (1990) A simplified approach to the tibial attachment of the posterior cruciate ligament. Clin Orthop Relat Res 216–219

  3. Deehan DJ, Pinczewski LA (2001) Arthroscopic reattachment of an avulsion fracture of the tibial insertion of the posterior cruciate ligament. Arthroscopy 17:422–425

    Article  PubMed  CAS  Google Scholar 

  4. Kim SJ, Shin SJ, Cho SK, Kim HK (2001) Arthroscopic suture fixation for bony avulsion of the posterior cruciate ligament. Arthroscopy 17:776–780

    Article  PubMed  CAS  Google Scholar 

  5. McMaster WC (1975) Isolated posterior cruciate ligament injury: literature review and case reports. J Trauma 15:1025–1029

    Article  PubMed  CAS  Google Scholar 

  6. Meyers MH (1975) Isolated avulsion of the tibial attachment of the posterior cruciate ligament of the knee. J Bone Joint Surg Am 57:669–672

    PubMed  CAS  Google Scholar 

  7. Seitz H, Schlenz I, Pajenda G, Vecsei V (1997) Tibial avulsion fracture of the posterior cruciate ligament: K-wire or screw fixation? A retrospective study of 26 patients. Arch Orthop Trauma Surg 116:275–278

    Article  PubMed  CAS  Google Scholar 

  8. Shino K, Nakata K, Mae T et al (2003) Arthroscopic fixation of tibial bony avulsion of the posterior cruciate ligament. Arthroscopy 19:E12

    Article  PubMed  Google Scholar 

  9. Torisu T (1977) Isolated avulsion fracture of the tibial attachment of the posterior cruciate ligament. J Bone Joint Surg Am 59:68–72

    PubMed  CAS  Google Scholar 

  10. Torisu T (1979) Avulsion fracture of the tibial attachment of the posterior cruciate ligament. Indications and results of delayed repair. Clin Orthop Relat Res 107–114

  11. Trickey EL (1968) Rupture of the posterior cruciate ligament of the knee. J Bone Joint Surg Br 50:334–341

    PubMed  CAS  Google Scholar 

  12. Yip DK, Wong JW, Chien EP (2003) Arthroscopic surgery in the posterior compartment of the knee: Suture fixation of anterior and posterior cruciate ligament avulsions. Arthroscopy 19:23E

    Article  PubMed  Google Scholar 

Download references

Acknowledgement

The authors are indebted to Kang YG for her help with this case report.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tae Kyun Kim.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yoo, J.H., Chang, C.B., Lee, T.S. et al. Delayed recurrent hemarthrosis after staple fixation of tibial avulsion fracture of the posterior cruciate ligament: a case report. Knee Surg Sports Traumatol Arthr 14, 854–858 (2006). https://doi.org/10.1007/s00167-006-0065-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00167-006-0065-2

Keywords

Navigation