Nondisplaced fractures can be managed conservatively; however, they involve a high risk of redisplacement. -, Biau DJ, Schranz PJ. Wu, Liang MMa; Liu, Chao BMb; Jiang, Bing BMc; He, Lijiang MMd,*, a Department of Orthopedic Surgery, First Peoples Hospital of Linpin District, Hangzhou, Zhejiang, China, b Department of General Surgery, Medicine Faculty of Universitas Prima Indonesia, North Sumatra, Indonesia, c Department of General Surgery, Daocheng Country Peoples Hospital, Sichuan, China. [95] Because Hoffa fractures are intra-articular, the success of anatomical reduction and firm internal fixation is closely related to postoperative complications like traumatic arthritis. 2017;84:4417. Surgical treatment of femoral medial condyle fracture with lag screws [22]. Lateral Femoral Condyle (LFC) osteochondral fracture (HSL, Hill-Sachs-like Lesion) can be seen in 30 of knee flexion. Some patellar dislocations are difficult to treat with closed reduction because the patella is attached to the intercondylar fossa by the quadriceps femoris[98] and rotational or vertical displacement is present. A case of distal femur medial condyle Hoffa type II(C) fracture treated with headless screws. Rosenberg NJ. This kind of disease is commonly seen in the knee joint sprain during strenuous activity. Ozturk A, Ozkan Y, Ozdemir RM. Soft tissues are retracted to . Monocondylar fractures of the femur: a review of 13 patients. Bethesda, MD 20894, Web Policies Injury 2005;36:8625. For complex fractures in patients with osteoporosis or a high body mass index, cannulated screws with antigliding plate fixation should be used. modify the keyword list to augment your search. Rofo. 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. Three days after injury, the lateral parapatellar incision of the right knee was performed under general anesthesia, OCF reduction and fixation of the lateral condyle was performed. Tsai CH, Hsu CJ, Hung CH, et al. Two cartilage masses can be seen during the operation. [104] To prevent habitual patellar dislocation, repair of the medial retinaculum complex or a combination of lateral retinacular release[14,105] and simultaneous patellar ligament insertion on the tibial tubercle is recommended. Letenneur J, Labour PE, Rogez JM, et al. eCollection 2020 Jun. J Pediatr Orthop. [27]. (B) AIMER was located at the outlet of the medial bone canal of the lateral condyle of the femur. (A) A blurred fracture line can be seen at the fracture of the lateral condyle of the femur. Kapoor C, Merh A, Shah M, et al. Hoffa nonunion, two cases treated with headless compression screws. Radiographic appearance The Authors. A 15-year-old female student accidentally sprained her right knee while participating in sports activities. Meyer C, Enns P, Alt V, et al. [103]. In addition, the lateral antiglide plate can provide stable support, and in combination with autologous bone grafting can promote fracture healing,[38,55,89] which is especially useful for treating old Hoffa fractures. 4). Rue JP, Busam ML, Detterline AJ, et al. following anterior cruciate ligament repair) Location The recognized sites of osteochondral defects are: femoral condyle (most common in the lateral aspect of the medial femoral condyle) humeral head talus capitellum of the humerus Staging Repair of displaced partial articular fracture of the distal femur: the. [81] For patients who require a longer healing time, such as those with a higher body mass index or poor compliance, the simple application of a cannulated screw is insufficient to counter the great shearing force between condyles and the tibial plateau when the knee is in flexion.
impaction fracture lateral femoral condyle treatment