Surgical versus nonsurgical treatments of acute primary patellar dislocation with special emphasis on the MPFL injury patterns. J Orthop Trauma 1994;8:1426. Li ZX, Song HH, Wang Q, et al. Treatment and prognosis. At the same time, forces on the distal tibia are transferred to the tibial plateau, resulting in great shear stress between the femoral condyle and the tibial plateau. Pathology. Frangakis EK. Moreover, the placement of a posterior antiglide plate with screws strips more soft tissue, especially the insertion of the gastrocnemius heads, and may destroy the blood supply to the fragments. The association between supracondylar-intercondylar distal femoral fractures and coronal plane fractures. Shah et al[19] systematically reviewed the recurrent patellar dislocation and found that the complication rate of patellar medial collateral ligament reconstruction was as high as 26.1%. A radiographic examination should include anteroposterior, lateral, oblique, and stress views of the knee. 2023 Jan;15(1):103-110. doi: 10.1111/os.13586. Comminuted fractures are caused by severe traumas like car accidents. [25] A cannulated screw combined with a plate is recommended in these cases. Internal fixation with lag screws plus an antigliding plate for the, [88]. Coronal fractures of the medial femoral condyle: a series of 6 cases and review of literature. This site needs JavaScript to work properly. [105]. [17]. Seeley MA, Knesek M, Vanderhave KL. Sahu RL, Gupta P. Operative management of, [44]. may email you for journal alerts and information, but is committed Impaction Fracture of the Medial Femoral Condyle Mashoof AA, Scholl MD, Lahav A, et al. [53,91] However, some Hoffa fractures combined with a tear of the posterolateral horn of the lateral meniscus are identified intraoperatively, and tear of the lateral meniscus can be repaired with suture anchors. Familiarity with the characteristics of Hoffa fracture on various imaging modalities and an understanding of the mechanism and likelihood of combined injuries contribute to the timely and accurate diagnosis of Hoffa fracture and avoiding misdiagnosis. A mechanical evaluation of two fixation methods using cancellous screws for coronal fractures of the lateral condyle of the distal femur (OTA type 33B). Would you like email updates of new search results? doi: 10.1097/MD.0000000000032104. [96]. Fracture of the Lateral Femoral Condyle | Journal of Orthopaedic Arthrosc Tech 2015;4:e299303. Hoffa fracture with cruciate ligament, lateral collateral ligament, or meniscus injuries can be treated with arthroscopic surgery,[90] which has the advantages of minimal invasion, less of an effect on blood supply, early postoperative return to functional exercise, and effective prevention of nonunion and joint stiffness. Surgical, [71]. This rare lesion is diagnostically challenging and requires an adapted and prompt treatment. Osteochondral fracture involving the weight-bearing portion of the lateral femoral condyle is relatively rare injury as it involves hyper flexion of the knee at the time of . Osteochondral injury to the mid-lateral weight-bearing portion of the lateral, [14]. Lee et al[13] reported that Gerdy osteotomy combined with an anterior lateral parapatellar approach provides appropriate exposure for bicondylar Hoffa fractures. -, Enea D, Busilacchi A, Cecconi S, Gigante A. Latediagnosed large osteochondral fracture of the lateral femoral condyle in an adolescent: a case report. Operative. McDonough PW, Bernstein RM. Preliminary X-ray examination showed osteochondral defects of LFC and loose body in knee joint (Fig. [76]. and transmitted securely. This article discusses anatomic considerations, classification of condylar fractures, indications for surgery, treatment options, and complications. Arthroscopy. Sun H, He QF, Huang YG, et al. A swashbuckler approach[34,72] can be used to treat bicondylar Hoffa fractures because it protects the Quadriceps femoris abdomen during surgery, allowing quick postoperative recovery of muscle strength and range of motion. Acta Orthop Traumatol Turc 2014;48:3837. http://creativecommons.org/licenses/by-nc-nd/4.0. Arthroscopic reduction and internal fixation of a displaced intraarticular lateral femoral condyle fracture of the knee. For complex fractures in patients with osteoporosis or a high body mass index, cannulated screws with antigliding plate fixation should be used. [103]. [30]. [5]. Ji G, Wang S, Wang X, et al. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. You may search for similar articles that contain these same keywords or you may Injury 2015;46:41921. Pitfalls associated with fixation of osteochondritis dissecans fragments using bioabsorbable screws. This method is also recommended for patients with osteoporosis, metaphyseal extension, or comminuted Hoffa fractures. Liebergall M, Wilber JH, Mosheiff R, et al. Maenpaa H, Huhtala H, Lehto MU. Blood investigations reported low vitamin D and testosterone levels with elevated alkaline phosphatase. Ostermann PA, Neumann K, Ekkernkamp A, et al. Gelber PE, Erquicia J, Abat F, et al. On The 1st postoperative day, the injured limb should be mobilized on a continuous passive motion device. Goel A, Sabat D, Agrawal P. Arthroscopic-assisted fixation of, [13]. Unauthorized use of these marks is strictly prohibited. [24]. Incarcerated patellar tendon in. Surgical treatment of femoral medial condyle fracture with lag screws Fracture lines are often located where the anterior cruciate ligament and lateral collateral ligaments attach. your express consent.