Acute Iliotibial Band ACL Reconstruction at Time of Tibial Plateau Fracture Fixation: A Case Report.

Introduction:Tibial plateau fractures are frequently associated with associated soft-tissue injuries. Typical treatment algorithms prioritize bony stabilization followed by delayed soft-tissue reconstruction. However, when the soft-tissue injury needs urgent intervention to optimize patient outcome, early soft-tissue reconstruction may be indicated. Case Report:This case report features a high-energy tibia plateau fracture-dislocation with associated anterior cruciate ligament (ACL) and bucket-handle lateral meniscus tear sustained after a fall. The treatment of both bony and soft-tissue injury took place during a single anesthetic event by utilizing a novel application of a previously described technique for ACL reconstruction with iliotibial band (ITB) autograft. Conclusion:The ITB ACL reconstruction technique can be used in adults with concomitant ACL rupture and tibial plateau fracture. This allows patients to undergo a single anesthetic event for treatment of both bony and soft-tissue injuries.