medial femoral condyle fracture treatment

• 8 September 2023

Management of nonunion of humeral medial condyle fracture: A case series and review of the literature. [QxMD MEDLINE Link]. Harrison RB, Keats TE, Frankel CJ, Anderson RL, Youngblood P. Radiographic clues to fractures of the unossified medial humeral condyle in young children. Fracture of the medial condyle of the humerus in children: a report of 4 cases including the late sequelae. Impaction Fracture of the Medial Femoral Condyle This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Please enable it to take advantage of the complete set of features! Postoperative radiographs confirmed anatomical reduction, and the patient achieved a good result. Femoral Condyle Fractures are a painful condition which can result from trauma injuries to the thigh bone and/or knee. A large bone fragment was identified attached to the MCL, of which the MCL is intact. At Vitalis Physiotherapy, our treatment of femoral condyle fractures aims to: The knee comprises of the thigh bone (femur), the kneecap (patella) and the shin bone (tibia) joining together. Excision of the fragment does not appear to yield results comparable to those of nonoperative treatment. Medscape Education. We report a case of patellar dislocation with OCF in the weight-bearing area of LFC. -, Bel J.C., Court C., Cogan A., Chantelot C., Pietu G., Vandenbussche E., SoFCOT Unicondylar fractures of the distal femur. Landin LA, Danielsson LG. The fracture was intra-articular and simple oblique through the notch (AO classification: 33-B2.1). Passive ROM should be avoided because it can result in damage to contracted soft tissues and has been associated with myositis ossificans. [QxMD MEDLINE Link]. Sunday: 9am - 4pm. 2013;21 (2): 340-5. Treatment for most patients is with a rehabilitative course consisting of range-of-motion and stretching exercises of the knee joint and medial collateral ligament. The fragment is usually displaced distally and anteriorly. The force of this event may even fracture other bones within the knee or legs. Manfredini M., Gildone A., Ferrante R., Bernasconi S., Massari L. Unicondylar femoral fractures: therapeutic strategy and long-term results. [QxMD MEDLINE Link]. This paper has been written in line with the SCARE criteria . Unauthorized use of these marks is strictly prohibited. Late reconstruction of condylar neck and head fractures. Spontaneous osteonecrosis of the knee associated with tibial plateau and femoral condyle insufficiency stress fracture. 3 (4):352-4. Impaction Fracture of the Medial Femoral Condyle - JOSPT Imaging showed failure of the medial femoral condyle to incorporate with talar fragmentation. Keywords: 1971 Sep. 53 (6):1102-4. One presumed mechanism of injury is a Stieda fracture (avulsion injury of the medial collateral ligament at the medial femoral condyle). As with any fracture reduction, periosteum and bone fragments are cleared from the fracture site to allow anatomic reduction. 10. Res. 18 (2):120-34. Plain radiography and computed tomography. Federal government websites often end in .gov or .mil. In this procedure, the bone and cartilage units are replaced by somebody who has recently died (an allograft), and replacing the whole bone and cartilage unit. Damage to the cartilage on the end of the bone is known as arthritis. Then, we placed the proximal tibia plate (Depuy Synthes: LCP proximal tibial plate 4.5) upside down (Fig. This article discusses anatomic considerations, classification of condylar fractures, indications for surgery, treatment options, and complications. [QxMD MEDLINE Link]. The locking compression plate for proximal tibia is an acceptable solution for femoral medial condyle fracture. If the patient is unable to tolerate a long surgical procedure because of polytrauma, closed reduction and cast immobilization with 90 of flexion is an option. Gorbachova T, Amber I, Beckmann NM, Bennett DL, Chang EY, Davis L, Gonzalez FM, Hansford BG, Howe BM, Lenchik L, Winalski CS, Bredella MA. We used a locking compression plate - proximal tibial plate 4.5/5.0 (Depuy Synthes TRAUMA) as a buttress plate. 2004;35 (3): 365-70, x. 2022 May;56(3):228-231. doi: 10.5152/j.aott.2022.21325. The ulnar nerve must be identified and protected; ulnar nerve transposition is usually unnecessary. The fracture surfaces are identified and cleaned, and the joint space is cleaned and irrigated to remove loose particles. Two days after the injury, we performed an open reduction and internal fixation using locking compression plate for proximal tibia and lag screws. For nondisplaced or minimally displaced medial epicondyle fractures, nonoperative management is the procedure of choice. Myositis ossificans has been described as a rare occurrence and has been correlated with repeated manipulation to reduce an incarcerated fragment. As it is a high-energy injury it will often be seen with other injuries of the knee. Zhonghua Kou Qiang Yi Xue Za Zhi. North Am. 5. Lee A Patterson, MD Orthopedic Surgeon, Carolina Bone and Joint Clinic, PA, Lee A Patterson, MD is a member of the following medical societies: American Medical Association and South Carolina Medical Association. [QxMD MEDLINE Link]. Patients with knee fractures may have a history of the following: Patella fracture - Caused by a direct blow, such as a dashboard injury in a motor vehicle accident or a fall on a flexed knee, also caused by forceful quadriceps contraction while the knee is in the semiflexed position (eg, in a stumble or fall). Patients often recall an acute onset of severe pain without significant trauma. Associated features that may predict prognosis include: associated meniscal tear and degree of extrusion. With vertical fracture lines, screw fixation alone may be insufficient, and a buttress plate should be added. In case of vertical fracture lines, screw fixation and buttress plates are necessary to achieve stability. Are you sure you want to trigger topic in your Anconeus AI algorithm? Strength in the leg will also need to be regained as this will have also reduced with the inactivity. This generalized information is a limited summary of diagnosis, treatment, and/or medication information. In the later stages features seen include: complicating subchondral fracture with periosteal reaction, On radiographs the Koshino classificiation is sometimes used which is as 18, stage II: radiolucency in subchondral weight-bearing area, stage III: expanded lucent area surrounded by sclerosis, subchondral bone collapse, stage IV: osteophytes and osteosclerosis on affected condyle. The medial femoral condyle is located on the inside part of the knee whereas the lateral femoral condyle, which is bigger, is located on the outside part of the knee. Subchondral insufficiency fracture of the femoral head. 2700 Vikings Circle Our clinics are open: Medial Femoral Condyle Flap | SpringerLink The post-operative plain radiography and computed tomography. The goal of surgical management is to promote early knee motion while restoring the articular surface, maintain limb length and alignment, and preserve the soft-tissue envelope with durable fixation that allows functional recovery during bone healing [5].

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