Sahu RL, Gupta P. Operative management of, [44]. According to the severity of Hoffa fracture and combined injuries, a reasonable treatment plan can be developed. At present, open reduction is often used to treat osteochondral fractures. 2004 Jan-Feb;142(1):103-8. doi: 10.1055/s-2004-817655. Lateral Femoral Condyle (LFC) osteochondral fracture (HSL, Hill-Sachs-like Lesion) can be seen in 30 of knee flexion. Gelber PE, Erquicia J, Abat F, et al. Keyword Highlighting
computed tomography scan and magnetic resonance (MRI) examination of knee joint further confirmed loose body within the knee joint, osteochondral defect in weight-bearing area of LFC and avulsion of medial patellofemoral ligament (Fig. A high-energy injury resulting in a Hoffa fracture of the medial condyle is often associated with a tibia fracture,[18] a bicondylar Hoffa fracture,[44,45] a dislocation of the patella,[14] a knee dislocation,[46] intercondylar and supracondylar fractures,[9,47] and pelvic[48,49] and femoral shaft fractures. Types I and III Hoffa fractures usually have a good prognosis because the soft tissue remains attached to the fragment, ensuring an adequate blood supply. [28]. Arthroscopic; Internal fixation; Osteochondral fracture; Suture anchor; TWINFIX Ti. Baker BJ, Escobedo EM, Nork SE, et al. This rare lesion is diagnostically challenging and requires an adapted and prompt treatment. Treatment and prognosis. [98]. Knee flexion was limited less than 60 within 8 weeks after operation, partial weight-bearing was allowed at 8 weeks, followed by full weight bearing from 12 weeks after operation. Potini VC, Gehrmann RM. Lax patellar attachments are thought to place adolescent boys at higher risk of patellar dislocation. Monocondylar fractures of the femur: a review of 13 patients. Surgery for patellar dislocation has evolved towards anatomical reconstructions with assessment and treatment of anatomical risk factors. Uimonen M, Ponkilainen V, Paloneva J, Mattila VM, Nurmi H, Repo JP. 2020 Jun 15;9 (6):e823-e828. Oper Dent 2007;32:25160. Medline, Embase, the Cochrane Library, Google Scholar, the China National Knowledge Infrastructure, and the China Biology Medicine disc were searched for relevant articles. [75]. However, Gavaskar et al[2] argued that no evidence confirms this correlation. sharing sensitive information, make sure youre on a federal Rue JP, Busam ML, Detterline AJ, et al. This is the first case to apply the suture anchor system to the reduction and fixation of fracture. [10] Some of these patients may have a history of poliomyelitis that predisposes individuals to osteoporosis. 3021 Tibial plateau fractures - fixation (a) Two or three lag screws may be sufficient for simple split fractures (type l), though 'b) a buttress plate ard screws may be more secure. Please try again soon. Guo H, Chen Z, Wei Y, Chen B, Sun N, Liu Y, Zeng C. Orthop Surg. FIGURE 2. [17]. Arthroscopic double-row suture anchor fixation of minimally displaced greater tuberosity fractures. FOIA Medial and lateral buttressing may be required if either fracture extends proximally in the same plane. Agarwal S, Giannoudis PV, Smith RM. The treatment options for OCF of LFC include: loose body removal, microfracture, open reduction and internal fixation, cartilage transplantation, autologous or allogeneic osteochondral transplantation, etc. The typical MRI findings after transient lateral dislocation of the patella have been well described and include a bone contusion pattern involving the inferomedial pole of the patella and the anterolateral aspect of the nonarticular portion of the lateral femoral condyle. Paa L, Vesel R, Koi J, et al. Management of any globe injury generally takes precedence over fractures 1. [10]. Osteochondral injury to the mid-lateral weight-bearing portion of the lateral, [14]. Two patients with osteochondral injury of the weight-bearing portion of the lateral. The knee joint is placed in flexion during surgery,[65,66] placing the joint capsule and gastrocnemius in a relaxed state, which reduces the traction on the fracture and is conducive to fracture repair. The term comminuted fracture refers to a bone that is broken in at least two places. Long term results of unicondylar fractures of the femur. Gesslein M, Merkl C, Bail HJ, et al. View Large Image Download Hi-res image Download (PPT) Correspondence: Wei Chen, The Third Affiliated Hospital of Hebei Medical University, Shijiazhuang, Hebei Province 050051, China (e-mail: [emailprotected]). Orthopaedic Surgery published by Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd. Xray examination of right knee joint: free bone mass can be seen at, (A) MRI examination of the right knee joint: the bone continuity at the, (A) The fresh 1.5 cm 1.5 cm fracture surface of the lateral, (A) One 1.5 mm Kirschner wire temporarily fixed the fracture block of the, (A) Use of anterior cruciate ligament locator to assist drilling at the distal, (A) Through the hollow needle channel of the femoral intercondylar fossa, the folding, Surgical diagrams (A: osteochondral fracture, Surgical diagrams (A: osteochondral fracture of the lateral femoral condyle; B: fixation of, CT examination 6 months after operation: one screw internal fixation, regular external condyle, (A) A blurred fracture line can be seen at the fracture of the, MeSH [92] Moreover, if soft tissue embedded within the fracture line prevents reduction, arthroscopy can distinguish the tissues and the degree of damage to assist restoration. 5cm cartilage mass was stripped from nonweight-bearing area of the LFC, and no osteochondral mass was found at the medial edge of patella (Fig. Type I, the most common classification, is a vertical fracture line parallel to the posterior cortex of the femur and involves the entire condyle. Busam ML, Provencher MT, Bach BR. Operative. [72]. Osteochondral fracture (OCF) in weight-bearing area of lateral femoral condyle (LFC) is a rare combined injury caused by patellar dislocation. Injury 2018;49:398403. At Vitalis Physiotherapy, our treatment of femoral condyle fractures aims to: Reduce Pain Restore Movement Optimise Recovery What are Femoral Condyle Fractures? 2018 Oct;21(5):308-310. doi: 10.1016/j.cjtee.2018.08.004. Dejour H, Walch G, Nove-Josserand L, et al. If fractures are present they are usually associated with orbital rim or other significant craniofacial injuries. How to cite this article: Wu L, Liu C, Jiang B, He L. Treatment of osteochondral fracture of lateral femoral condyle after patella dislocation with anchor absorbable sutures: A new surgical technique and a case report. [47]. Two bone tunnels are made from anteromedial to posterolateral with 2mm Kirschner wire at the front edge of osteochondral mass. Knee Surg Sports Traumatol Arthrosc 2011;19:3209. Meta plate and cannulated screw fixation for, [86]. Fracture lines are often located where the anterior cruciate ligament and lateral collateral ligaments attach. Injury 2011;42:14958. [50]. (A) Use of anterior cruciate ligament locator to assist drilling at the distal end of the femur. After hospitalization, the patients underwent computed tomography scan and magnetic resonance examination. J Knee Surg 2008;21:23540. 1). Cheng S, Zaidi SF, Linnau KF. Goel A, Sabat D, Agrawal P. Arthroscopic-assisted fixation of, [13]. 3 Although the examined patients were not professional athletes, some differences between these groups are worth mentioning: in the athletes, the medial rather than the lateral condyle was Apropos of 128 cases]. [73] This approach is suitable for the treatment of Hoffa fracture with patella dislocation. A case of distal femur medial condyle Hoffa type II(C) fracture treated with headless screws. You may be trying to access this site from a secured browser on the server. Factors of patellar instability: an anatomic radiographic study. For example, a fracture line dividing the femoral condyle surface into 2 parts is classified as type I; 2 fracture lines dividing the femoral condyle surface into 3 parts is type II; and 3 or more fracture lines dividing the femoral condyle surface into 4 or more parts is type III. (B) AIMER was located at the outlet of the medial bone canal of the lateral condyle of the femur. Published by Wolters Kluwer Health, Inc. For simple fractures of the medial condyle, a medial parapatellar surgical approach is most commonly used. [99] The patella may become incarcerated in the intercondylar fossa, wedged between the femoral condyles, or even rarely incarcerated in the Hoffa fracture. [95]. This kind of disease is commonly seen in the knee joint sprain during strenuous activity. [4]. A hip fracture is a break that occurs in the upper part of the femur (thigh bone). Atesok K, Doral MN, Whipple T, et al. chauffeur fracture: intraarticular fracture involving radial styloid; Another type of distal radius fracture is the Lister's tubercle fracture. The injury to MCL was also observed with MRI. Bilateral. Posterior wall blowout in anterior cruciate ligament reconstruction: avoidance, recognition, and salvage. and transmitted securely. [16]. Data is temporarily unavailable. [34] The clinical diagnosis of a Hoffa fracture relies on trauma history, physical examination, imaging, and other objective indicators as well as increased suspicion based on the history and positive signs.[35,36]. Commonly used classifications include the Letenneur classification, a computed tomography (CT) classification, the AO classification, and modified AO classification. [15,16] These forces cause gross displacement of the condyle, which can not only rupture the quadriceps tendon but also perforate the skin, resulting in an open injury. Open reduction and internal fixation are preferred. When high-energy trauma involves the distal femur, the lateral condyle is often damaged[18] before the medial condyle because of the physiologic genu valgum of the knee joint. Unicondylar femoral fractures: therapeutic strategy and long-term results. Smith EJ, Crichlow TP, Roberts PH. In addition to changes in bone mineral composition and a reduced proportion of bone matrix in patients with osteoporosis, changes in bone microstructure, thinning of bone cortex, and reduction in the number and size of bone trabeculae result in a decreased bone load capacity[26] and an increased risk of a Hoffa fracture with low-energy trauma. [2]. 5 and 6), and the lysholm score was 95 points, which was very good. A case report. [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. The distal femur is where the bone flares out like an upside-down funnel. Arthroscopy. Careers. Singh R, Singh RB, Mahendra M. Functional outcome of isolated Hoffa fractures treated with cannulated cancellous screw. (B) 1.5cm1.5cm free bone was found in the knee joint cavity, and the bone fracture was intact. The bone mass is missing at the fracture. [96]. Fracture surgery complications include: Acute compartment syndrome (ACS): A build-up of pressure in your muscles may stop blood from getting to tissue, which can cause permanent muscle and nerve damage. vik tchalikian net worth 2020, what happened to dave priest, going back to work meme after quarantine,
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