Combined ACL and Segond Repair in Combined Acute Proximal ACL Tears and Segond Fracture

A renewed interest in anterior cruciate ligament preservation has been noted using arthroscopic primary repair in patients with proximal tears, but the main concern remained the control of the rotational instability. Segond fracture occurs in less than 10% of cases of acute anterolateral instability, but it can result in continued rotation instability. The aim of this study is to describe the surgical technique to acutely repair both the anterior cruciate ligament and Segond fracture in the acute setting.

Automated summary

A renewed interest in anterior cruciate ligament preservation has led to the use of arthroscopic primary repair in patients with proximal tears, but controlling rotational instability remains a concern. Segond fracture, although rare, can lead to continued rotation instability in cases of acute anterolateral instability. This study aims to describe the surgical technique for repairing both the anterior cruciate ligament and Segond fracture acutely.