Abstract

We present a case of anterior dislocation of the knee combined with tibial shaft fracture and multi-ligament injury. To our knowledge, a complex case like this has rarely been documented. A 53-year-old male was involved in a car crash. Radiographies showed a fracture in the shaft of the tibia and fibula, anterior dislocation of the knee, and an avulsion fracture of the fibula. In MRI scan, ACL was torn entirely, and PCL had a high-grade intra-sheath tearing. The surgery was performed in two steps with 4-day interval. At first step, we fixed the tibial shaft fracture with a plate and screw, and in the second step, we reconstructed the ligament injury. All components of this lesion were quickly diagnosed and treated appropriately. Three months after treatment, the patient had achieved adequate daily functioning following the onset of early rehabilitation exercises.

Keywords: Knee dislocation; Tibial fracture; Ligament; ACL; PFL; Avulsion fracture