Presentation
Recurrent trauma, the patient tripped and fell onto her knee. History of previous injury and surgery.
Patient Data
There are no acute post-traumatic bony abnormalities given recurrent trauma.
There is no suprapatellar hemarthrosis.
A prior ACL reconstruction is evident by the presence of a lateral femoral endobutton, and a lateral femoral including tibial tunnel. There are absent metallic interruption screws.
In addition, a prior PCL reconstruction is evident by the presence of a medial femoral endobutton, and a medial femoral tunnel.
There is medial joint space narrowing and no other significant degenerative changes.
Case Discussion
This is an example of a simultaneous ACL and PCL reconstruction.
Satisfactory graft isometry suggesting adequate prior ACL and PCL repair on radiographic assessment. In this instance, there is a steep but normal tibial tunnel to Blumensaat's line.
Bioabsorbable interference screws have been used.
Simultaneous ACL and PCL reconstructions have been done due to severe prior trauma, and knee instability and for the prevention of premature osteoarthritis in this patient.
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