Bilateral Avulsion Fracture of the Fibula Head of the Knee Associated with Avulsion Fracture of the Iliotibial Band: A Rare Case of Fracture Segond Associated with Arcuate Fracture

Figure 2

(a) Lateral approach to the right knee showing the tendon of the long head of the biceps repaired by Krackow suture, identified and isolated fibular nerve, fibular head with avulsed fragment and lateral margin of the tibia with the iliotibial band completely inserted to the full. (b) Right knee after Segond fragment fixation and transosseous PLC repair. (c) Lateral approach to the left knee showing extensive injury on the lateral edge of the tibia near the iliotibial band and comminuted avulsion fracture of the fibular head next to the tendon of the long head of the intact biceps. (d) Left knee after Segond fracture fixation with pull out associated with Kirschner wires and transosseous PLC repair (green asterisk = tendon of the long head of the biceps; yellow asterisk = fibular nerve; white asterisk = head of the fibula with avulsed fragment; blue asterisk = lateral edge of the tibia with iliotibial band completely inserted in full; red arrow = mini access for positioning of pull-out plate).

(a)

(b)

(c)

(d)