Introduction:

Anterior cruciate ligament injuries are common, however, tibial avulsions in adults are rare. The gold standard continues to be reconstruction either by allograft or autologous graft. Primary repairs in femoral side lesions have been reported in recent years by bioabsorbable anchors.

Case report:

We present the case of a primary repair of anterior cruciate ligament due to tibial avulsion in a patient 19 years after presenting direct trauma with added lesions of posterior cruciate ligament and posterolateral corner. Primary repair was performed by trans-tendon portal with suture of the anterior cruciate ligament crossed by FiberTape and FiberWire with a SwiveLock anchor (4.75 mm) in tibial footprint.

Results:

Twelve months after surgery is with independent gait, full range of movement, with clinical rating scales, Tegner before injury and post-injury at 6, Lysholm 91, 73.6 subjective IKDC, objective IKDC in C and EQ-5D 0.79.

Conclusion:

Fixation with bioabsorbable anchor is possible in the avulsion of the post-traumatic tibial spine.