LAUSR

Abstract ACL Injury is a common case among knee injuries which relatively common in athletes and productive ages. Reconstruction of ACL recommended based on indication and its successful dependent on the pre operative until post operative management. A case of an open fracture of right tibial plateau and open fracture of right lateral femoral condyle with significant bone loss of lateral femoral condyle of a 21 years old female and get an ACL rupture and allograft inflammation after 2 years of operation. She had undergo an ACL reconstruction using hamstring autograft with transtibial technique because standard transportal technique could not be done due to position of the allograft and the implant. Post operatively, followed until 2 years and the result seem to be satisfactory. In this case we choose not to drill the femoral tunnel to the lateral condyle since we worried about the strength of endobutton fixation in allograft tissue. The tunnel created vertically through transtibial tunnel so that the button have a good purchase and strong fixation in the healthy bone of femoral wall. Post operatively the patient underwent physiotherapy and eventually had normal activity. The surgical technique had achieved a good result but long term evaluation will be needed to know the outcome of the allograft and the fixation in longer period of time.