Advances in the Treatment of Anterior Cruciate Ligament Tibial Insertion Avulsion Fractures

Guangzheng Liang; Yongcheng Qian; Ke Sun

doi:10.54097/7thv2z05

Authors

Guangzheng Liang
Yongcheng Qian
Ke Sun

DOI:

https://doi.org/10.54097/7thv2z05

Keywords:

Anterior Cruciate Ligament, Tibial Insertion Avulsion Fractures, Internal Fixation, Surgical Approaches

Abstract

Anterior cruciate ligament (ACL) tibial insertion avulsion fracture is a bony avulsion injury at the ACL tibial insertion site caused by trauma. Although clinically uncommon, with an annual incidence of approximately 3 per 100,000, it represents an intra-articular fracture that often compromises knee stability due to concomitant ACL functional impairment and meniscal injuries, causing significant clinical challenges. Consequently, the selection of appropriate internal fixation methods and surgical approaches is critical. Current debates persist regarding optimal surgical strategies for different fracture subtypes. This review systematically summarizes recent advances in the management of ACL tibial insertion avulsion fractures.

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