Surgical Management of a Torn ACL and Bucket-Handle Meniscal Tear in the Pregnant Patient: A Case Report

JBJS Case Connect. 2024 Apr 5;14(2). doi: 10.2106/JBJS.CC.23.00423. eCollection 2024 Apr 1.

Abstract

Case: A 36-year-old, 7-month pregnant woman presented to the office with a locked knee and a displaced bucket-handle medial meniscus tear, in the setting of chronic anterior cruciate ligament (ACL) insufficiency. After thorough discussion with the patient and her husband, the obstetrician, and the anesthesiologist, the patient was treated with left knee ACL reconstruction and medial meniscus repair.

Conclusion: With sufficient preoperative planning and coordinated multidisciplinary care among orthopaedic, anesthesiologist, and obstetric specialists, elective knee surgery can be performed safely in time-sensitive situations during pregnancy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anterior Cruciate Ligament / surgery
  • Anterior Cruciate Ligament Injuries* / surgery
  • Female
  • Humans
  • Knee Joint
  • Lacerations*
  • Menisci, Tibial / diagnostic imaging
  • Menisci, Tibial / surgery
  • Pregnancy
  • Tibial Meniscus Injuries* / diagnostic imaging
  • Tibial Meniscus Injuries* / surgery