impaction fracture lateral femoral condyle treatmentis camille winbush related to angela winbush

Moreover, even if the medial patellar retinaculum is strengthened, the patient still has symptoms such as anterior knee pain. Treatment of osteochondral fracture of lateral femoral condyle after patella dislocation with anchor absorbable sutures: A new surgical technique and a case report. The TT-TG Index: a new knee size adjusted measure method to determine the TT-TG distance. Some error has occurred while processing your request. Oper Dent 2007;32:25160. For simple fractures of the medial condyle, a medial parapatellar surgical approach is most commonly used. Ann Chir 1978;32:2139. Lateral Femoral Condyle (LFC) osteochondral fracture (HSL, Hill-Sachs-like Lesion) can be seen in 30 of knee flexion. 2018 Oct;21(5):308-310. doi: 10.1016/j.cjtee.2018.08.004. chauffeur fracture: intraarticular fracture involving radial styloid; Another type of distal radius fracture is the Lister's tubercle fracture. [11,12] The bone marrow edema at the posterolateral aspect of the LFC suggest that the knee joint is highly flexed during patellar dislocation. Intra-operative fractures during primary total knee arthroplasty are rare with higher risk associated with osteoporosis, rheumatoid arthritis, advanced age, female gender, chronic steroid use, metabolic bone disorders, PS type of femoral implant and difficult surgical exposure of the knee joint due to severe deformities. You may be trying to access this site from a secured browser on the server. Arthroscopy-assisted fracture fixation. A case of distal femur medial condyle Hoffa type II(C) fracture treated with headless screws. [82,83] A biomechanical study by Li et al[84] demonstrated that plates combined with screws more firmly fixed the femoral condyle, reducing the probability of fracture displacement. Screw pullout strength: a biomechanical comparison of large-fragment and small-fragment fixation in the tibial plateau. For simple lateral condylar Hoffa fractures, a patellar anterolateral approach is most commonly used. This kind of disease is commonly seen in the knee joint sprain during strenuous activity. Repair of displaced partial articular fracture of the distal femur: the. Arthroscopy. Surgical versus nonsurgical treatments of acute primary patellar dislocation with special emphasis on the MPFL injury patterns. [83]. Rosenberg NJ. doi: 10.1016/j.eats.2020.02.016. Conjoint bicondylar, [22]. [17]. [104]. The appropriate surgical plan is chosen based on the location of the Hoffa fracture, characteristics of the fracture line, fracture severity, and associated injuries. (A) Through the hollow needle channel of the femoral intercondylar fossa, the folding corner of the PDS line are exposed to the knee joint cavity through the bone canal. J Bone Joint Surg Am 1974;56:4234. [56]. Background The goal of this present study was to precisely determine the dimension and location of the impaction fracture on the lateral femoral condyle in patients with an ACL rupture. J Knee Surg 2013;26(Suppl 1):S8993. Before Published by Wolters Kluwer Health, Inc. Apropos of 128 cases]. After fracture exposure, headless compression screws can be inserted perpendicularly to the fracture line from posterior to anterior. Previous article . Am J Sports Med 2008;36:37994. [9] The pain due to these combined injuries often exceeds that caused by the Hoffa fracture, which can lead physicians to miss the latter. According to the severity of Hoffa fracture and combined injuries, a reasonable treatment plan can be developed. Intra-articular dislocation of the patella. [6,45,48,5863] Therefore, we must strictly control the indications for conservative treatment. Please try again soon. Nonunion of a. [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. [3,4] In 1888, Hoffa described coronal fracture of the femoral condyle but did not indicate the source of the previous reference. The most common way to fracture the femoral condyles is jumping from a large height. Iwai T, Hamada M, Miyama T, et al. Arthrosc Tech 2015;4:e299303. [21]. Pure lateral blow-out fractures are rare, as the bone is thick and bounded by muscle. Osteochondral injury after acute patellar dislocation in children and adolescents. [57]. Injury 2018;49:398403. CT examination 6months after operation: one screw internal fixation, regular external condyle cortex, good alignment at the end of fracture, callus growth and unclear fracture line could be seen in the right lateral femoral condyle. Transverse Hoffa's or deep osteochondral fracture? Suture anchor system is mostly used to repair rotator cuff and patellar tendon. [105]. Lewis SL, Pozo JL, Muirhead-Allwood WF. Sharath RK, Gadi D, Grover A, et al. This article discusses anatomic considerations, classification of condylar fractures, indications for surgery, treatment options, and complications. [16]. Blood investigations reported low vitamin D and testosterone levels with elevated alkaline phosphatase. The patient's treatment plan included 6 weeks of weight bearing as tolerated for the left lower extremity while wearing a knee brace that prevented the final 20 of knee extension, and a program of range-of-motion and progressive resistive exercises, with eventual emphasis on sport-specific activities. Two bone tunnels are made from anteromedial to posterolateral with 2mm Kirschner wire at the front edge of osteochondral mass. For Letenneur II and some Letenneur III fractures close to the posterior cortex of the femoral condyle, cannulated lag screw fixation is commonly used. The natural history. For young patients with good compliance, simple medial or lateral condylar fractures can be treated via a medial or lateral parapatellar approach. Keyword Highlighting Surgically treated Hoffa Fractures with poor long-term functional results. In addition, the Hoffa fracture line can be seen on stress films taken with the patient under general anesthesia. Musculoskelet Surg 2012;96:4954. Smith EJ, Crichlow TP, Roberts PH. With a lower degree of knee flexion, the extensor mechanism is damaged below the patella (patellar tendon); at higher angles, the quadriceps tendon is torn. Pathology The likely mechanism is a hyperextension or impaction injury with a collision of the femoral condyle and the posterior tibial plateau during the rotational movement responsible for injuring the ACL, most commonly the pivot-shift. [10]. Bartonicek J, Rammelt S. History of femoral head fracture and coronal fracture of the femoral condyles. Treatment and prognosis. [41]. [9]. eCollection 2020 Jun. Here, we summarized the injury mechanism, diagnosis, classification, and treatment options of Hoffa fractures. [39,40] Wagih[41] reported that, under general anesthesia, patients with Hoffa fracture have instability at 30 of flexion but not with leg straightened. Zhou, Yabin MDa,b; Pan, Ying MDc; Wang, Qingxian MDa; Hou, Zhiyong MDa; Chen, Wei MDa,, aDepartment of Orthopedic Surgery, The Third Hospital of Hebei Medical University, Orthopedic Research Institution of Hebei Province, Key Laboratory of Biomechanics of Hebei Province, bDepartment of Orthopedic Surgery, Shijiazhuang The Third Hospital. Data is temporarily unavailable. (C) The free edge of the anterior foot of the meniscus was rough (degree I). Careful consideration and attention to the principles of fracture management, and the role of the condyle as an articulating . A mechanical evaluation of two fixation methods using cancellous screws for coronal fractures of the lateral condyle of the distal femur (OTA type 33B). One hundred five articles on Hoffa fractures were reviewed, and the clinical knowledge base was summarized. An appropriate surgical approach allowing full fracture exposure is selected based on fracture type. Treatment of osteochondral fractures of the knee: a meta-analysis of available scientific evidence. J Orthop Trauma 2002;16:17881. Characteristics of Osteochondral Fractures Caused by Patellar Dislocation. J Orthop Surg Res 2012;7:21. As the knee is being extended and in full extension, it can be seen that femoral and tibial surfaces do not articulate with each other. This method is beneficial for reducing small and rotating fragments. 1). However, in recent years, some authors[35] reported OCF involving the weight-bearing area of LFC. Materials and methods: This HIPAA-compliant retrospective study was approved by our Institutional Review Board. Suture anchors are drilled into the posterolateral tibia to repair the meniscus to the meniscosynovial junction. Baker BJ, Escobedo EM, Nork SE, et al. Cancellous screws cannot achieve adequate compression[55] and require more surgical time to countersink. Knee Surg Sports Traumatol Arthrosc. Published by Wolters Kluwer Health, Inc. A 15-year-old female student accidentally sprained her right knee while participating in sports activities. (B) The sutures passing through the bone canal and the corresponding sutures on the anchor were tightened and fixed. Hawkins RJ, Bell RH, Anisette G. Acute patellar dislocations. Highlight selected keywords in the article text. Acta Orthop Scand 1997;68:4246. A rare case of bicondylar. The plate fit the bone surface well, despite some bending, the clinical and radiological outcomes were good. Correspondence: Wei Chen, The Third Affiliated Hospital of Hebei Medical University, Shijiazhuang, Hebei Province 050051, China (e-mail: [emailprotected]). Zeebregts CJ, Zimmerman KW, ten Duis HJ. [24]. [14]. 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 . An attempt to treat Hoffa fractures under arthroscopy: A case report. Bioactive factors for cartilage repair and regeneration: improving delivery, retention, and activity. [80] From a biomechanical point of view, when the load is in the vertical direction, posteroanterior screw placement has a lower risk of shifting than anteroposterior placement. The bone mass is missing at the fracture. Gang et al[20] found that there was no statistically significant difference between surgical treatment and non-surgical treatment in patients with patellar side injury of medial collateral ligament of patella. The advantage of this approach is that it does not compromise future arthroplasty surgery; however, it does not allow visualization and treatment of any posterior comminution. 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. Technique for Treatment of Subchondral Compression Fracture of the Lateral Femoral Condyle Associated With ACL Tear Technique for Treatment of Subchondral Compression Fracture of the Lateral Femoral Condyle Associated With ACL Tear Arthrosc Tech. Unicondylar femoral fractures: therapeutic strategy and long-term results. Injury 1989;20:3714. Medline, Embase, the Cochrane Library, Google Scholar, the China National Knowledge Infrastructure, and the China Biology Medicine disc were searched for relevant articles. Arthroscopic reduction and internal fixation of a displaced intraarticular lateral femoral condyle fracture of the knee. [65,67] Moreover, headless compression screws can prevent soft tissue irritation and do not need an additional countersinking procedure. A modified posterolateral approach for. Active and passive knee flexion exercise of the right knee was gradually strengthened 6 weeks after operation. [16]. One hundred five relevant articles were reviewed, and the clinical knowledge base was summarized. [4]. Internal fixation with headless compression screws and back buttress plate for. Clipboard, Search History, and several other advanced features are temporarily unavailable. Although low bone density may be present concurrently, it is not the underlying cause of subchondral insufficiency fractures in the majority of patients. [80]. [60]. A biomechanical study[5] shown that several smaller-diameter screws cause less damage to the joint cartilage than larger-diameter screws but that both have the same tensile force. The site is secure. High-energy trauma is a common cause of a Hoffa fracture, although low-energy trauma and iatrogenic injury can also lead to these fractures. Epub 2022 Nov 15. Incarcerated patellar tendon in. Introduction. Some error has occurred while processing your request. [8]. [11] The presence of a thick ligament in a relatively small femur is also a risk factor for a Hoffa fracture.[2730]. Tan et al[75] recommended an improved posterolateral approach starting from the space between the peroneal nerve and the biceps femoris. In some cases, the Letenneur II fragment is small but essential for the knee join when flexed at 90 because it ensures the articular surface integrity. Acta Chir Orthop Traumatol Cech. Ercin E, Bilgili MG, Basaran SH, et al. [77]. This system allows the classification of comminuted femoral condyle fractures. Nanda R, Yadav RS, Thakur M. Intra-articular dislocation of the patella. For more information, please refer to our Privacy Policy. Allmann KH, Altehoefer C, Wildanger G, et al. 1986;14:11720. Clinical outcomes after absorbable suture fixation of patellar, [26]. J Bone Joint Surg Br 1989;71:11820. Arthroscopy 2012;28:13817. [25]. Li et al[25] used absorbable suture to treat OCF caused by patellar dislocation and achieved good medium-term results. 2018;31:38291. Open bicondylar, [23]. Manfredini M, Gildone A, Ferrante R, et al. Calmet J, Mellado JM, Garcia Forcada IL, et al. Ji G, Wang S, Wang X, et al. [33]. [Patella infera. The patient felt pain in his right knee and limited movement. Injury 2005;36:8625. Hoffa nonunion, two cases treated with headless compression screws. [97]. Gelber PE, Erquicia J, Abat F, et al. Furthermore, a Hoffa fracture is associated with cruciate ligament injury. Research Article: Systematic Review and Meta-Analysis. This study was supported by the National Natural Science Foundation of China (grant no: 81401789) and the Top Young Talents for Hebei Province (20162018). Chauhan A. Irreducible, incarcerated vertical dislocation of the patella into a. Zhou S, Cai M, Huang K. Treatment of. [59] For children and individuals with osteoporosis, low-energy trauma can also lead to a Hoffa fracture. Nomura E, Inoue M, Kurimura M. Chondral and osteochondral injuries associated with acute patellar dislocation. Tan Y, Li H, Zheng Q, et al. [38]. Please enable scripts and reload this page. Type I, the most common classification, is a vertical fracture line parallel to the posterior cortex of the femur and involves the entire condyle. [27]. Impaction Fracture of the Medial Femoral Condyle assessment of the anterior cruciate liga- ment with the anterior drawer and Lach- man tests was negative for laxity. After hospitalization, the patients underwent computed tomography scan and magnetic resonance examination. [74]. Nakagawa S, Arai Y, Inoue H, et al. absorbable internal fixation; dislocation of patella; femoral condyle; osteochondral fracture. [6]. At present, open reduction is often used to treat osteochondral fractures. With rapid developments in transportation, construction, and industry, the incidence of Hoffa fractures has gradually increased. This study aimed to systematically review the clinical knowledge base of Hoffa fractures to facilitate the diagnosis and management of such injuries. Callewier A, Monsaert A, Lamraski G. Lateral. For local soft-tissue injuries, external fixation can be used, but this may delay the time to mobility restoration and affect therapeutic efficacy. A systematic review of complications and failures associated with medial patellofemoral ligament reconstruction for recurrent patellar dislocation. Zhao LL, Tong PJ, Xiao LW. Intertrochanteric femoral fractures account for 3.13% of total adult fractures, 24.56% of femoral fractures, and 50% of proximal femoral fractures (Koval et al. When the patient has patellar dislocation with OCF in the weight-bearing area of LFC, surgical treatment and internal fixation is the treatment of choice if the OCF can be fixed. The tears of the lateral meniscus and medial meniscus were detected during arthroscopy. Low-energy trauma can cause Hoffa fractures in people with skeletal immaturity[24] as well as in those with low bone mass, such as patients with osteoporosis. [64]. During the operation, 2 4.5mm anchor (Smith @ nephew TIWNFIX Ultra PK Suture Anchor) was inserted into the posterior edge and medial edge of the cartilage mass in the weight-bearing area, and then 2 non-absorbable sutures on each anchor were replaced by an absorbable suture (ETHICON VICRYL PLUS VCP359H), and finally the 2 ends of the absorbable suture were knotted to prevent sliding. Screws inserted from anterior to posterior induce less soft tissue dissection and carry no risk of damaging the posterior neurovascular structures. modify the keyword list to augment your search. Am J Sports Med. Mashoof AA, Scholl MD, Lahav A, et al. 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. [103]. Hoffa fractures are coronal-plane fractures of the femoral condyle, which are rarer than sagittal-plane condylar fractures. [10] Werner and Miller [11] reported that iatrogenic injury is a cause of Hoffa fracture . Screw insertion direction differs among operative approaches. [78]. Nandy K, Raman R, Vijay RK, et al. A radiographic examination should include anteroposterior, lateral, oblique, and stress views of the knee. Goel A, Sabat D, Agrawal P. Arthroscopic-assisted fixation of, [13]. In contrast, type II fractures have a high risk of nonhealing or delayed healing because of poor adhesion and poor blood supply. [21] Matthewson et al[21] reported for the first time that patellar dislocation complicated with OCF of LFC was treated with early internal fixation and external fixation to avoid early weight bearing, and achieved good results. 1 It has been proved that compression of the posterior border of . Intra-articular dislocation of the patella with associated, [26]. Anchor absorbable suture bridge fixation for this kind of OCF is not only effective, but also economical. We replaced the anchor suture with (ETHICON VICRYL PLUS VCP 359H) suture during the operation, which is an attempt based on the research of Li,[25] in order to avoid the second operation. [54] However, popliteal and gastrocnemius muscle traction and foot or ankle movement can lead to fracture redisplacement,[5557] which can cause delayed fracture healing, nonunion, traumatic arthritis, knee dysfunction, and other complications. Internal fixation with lag screws plus an antigliding plate for the, [88]. Osteochondral defects of LFC are usually caused by lateral patellar dislocation, most of which are located on the medial side of patella. This article reviews the mechanism, diagnosis, classification, and treatment of Hoffa fractures. [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. Malunion: This happens when your broken bones don't line up correctly while they heal. Data is temporarily unavailable. When the patient was sent to the emergency room, the right knee swelled obviously, tenderness over the medial border of the patella, the apprehension test was positive, lateral stress test was negative, and the knee range of motion:F/E 90/0. Open reduction and internal fixation are preferred. The weight-bearing joints such as the knee, hip, and ankle joints are more commonly affected. Medicine 2022;101:50(e32104). Bookshelf 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. Life (Basel). Keyword Highlighting The patient was evaluated by the physical therapist 2 days after his injury. Complications of anterior cruciate ligament reconstruction with bone-patellar tendon-bone constructs: care and prevention. your express consent. Busam ML, Provencher MT, Bach BR. Knee flexion angle is more important than guidewire type in preventing posterior femoral cortex blowout: a cadaveric study. Please try again soon. Pa a et al[17] reported that 10 patients with patellar osteochondral mass less than 2.7mm2 caused by patellar dislocation still achieved good function only by taking out the loose body, and no patellar dislocation was found. Arthroscopic management of a posterior femoral condyle (Hoffa) fracture: surgical technique. Antigliding plating for Letenneur type I Hoffa fractures. Federal government websites often end in .gov or .mil. In the anteroposterior radiograph of the femoral condyle, the trabecular bone structure of the femoral condyles is disordered, with poor continuity of the cortex. Int Orthop. [19]. Onay T, Glabi D, olak , et al. Transverse Hoffas or deep. The functional and radiographic outcome were satisfactory at 18 months after operation. The use of several 3.5-mm-diameter screws is recommended to fix the fractures. 2013;33:5118. Fixation with headless screws can reduce the degree of cartilage injury. Friederichs et al[24] reported cases of opposing articular surface cartilage injury caused by bioabsorbable screws, which required second operation. [85]. Vivek T, Saubhik Da, Sahil G, et al. During the operation, we found that 2.5*2. Fractures of the distal femur typically occur in the axial and sagittal planes. J Knee Surg. Intra-articular dislocation of the patella with incomplete rotation--two case reports and a review of the literature. Dejour H, Walch G, Nove-Josserand L, et al. 1982;68:31725. Arthroscopy-assisted, [55]. Tong W, Yang J, Xu PL, et al. [3]. According to the internal fixation principle, the antiglide plate should be fixed in the posterior position. J Clin Orthop Trauma 2015;6:4650. [10]. Osteochondral fracture of the lateral femoral condyle is a rare intra-articular injury with or without patellar dislocation. 2013;185:61120. An impact fracture is a form of failure where a metal separates into fragments due to a stress applied at a temperature below the metal's melting point. [96]. Nork SE, Segina DN, Aflatoon K, et al. Type 2 fractures require a . [39]. doi: 10.1097/MD.0000000000032104. Search for Similar Articles 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. Letenneur J, Labour PE, Rogez JM, et al. Authors Please enable it to take advantage of the complete set of features! Arthroscopy. Objective: To determine the characteristics of femoral condyle insufficiency fracture (FCIF) lesions and their relative associations with the risk of clinical progression. d Department of Orthopedic Surgery, Second Peoples Hospital of Yuhang District, Hangzhou, Zhejiang, China. J Trauma 2000;48:15960. View Large Image Download Hi-res image Download (PPT) (D) Under knee arthroscopy, obvious fracture line of lateral condyle of bone and osteochondral fracture of the lateral femoral condyle can be seen. 2020 The Authors. Vaishya R, Singh AP, Dar IT, et al. [43]. [7] The development of trochlear sulcus of femur was classified as type A according to Dejour et al,[8] and the TT-TG[9] was 15mm. Surgery for patellar dislocation has evolved towards anatomical reconstructions with assessment and treatment of anatomical risk factors. [47]. -, Enea D, Busilacchi A, Cecconi S, Gigante A. Latediagnosed large osteochondral fracture of the lateral femoral condyle in an adolescent: a case report. Operative, [46]. Tripathy SK, Aggarwal A, Patel S, et al. (B) AIMER was located at the outlet of the medial bone canal of the lateral condyle of the femur. [82]. Nonunion of coronal shear fracture of femoral condyle. [19]. [91]. [15,1720] The fracture line its inclination angle of a Hoffa fracture depend on the degree of knee joint flexion at the time of trauma[18]; as the angle of knee flexion increases, the fracture line will occur farther from the posterior cortex of the femoral-condyle. Search for Similar Articles [84]. [29]. A rare case of unicondylar medial, [24]. Osteochondral fractures of the lateral, [11]. The swashbuckler: a modified anterior approach for fractures of the distal femur. A patella that is stuck between the tibia and femur can be relocated naturally by flexing of the hip joint with the knee in 110 of flexion under local anesthesia. [50,51] An open supracondylar- intercondylar distal femoral fracture has a 2.8 times more chance of a Hoffa fracture than a closed distal femoral fracture. 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. The Authors. modify the keyword list to augment your search. National Library of Medicine Sagittal MRI images were reexamined 18 months after operation, MRI = magnetic resonance. Lax patellar attachments are thought to place adolescent boys at higher risk of patellar dislocation. Springerplus 2016;5:1164. At Vitalis Physiotherapy, our treatment of femoral condyle fractures aims to: Reduce Pain Restore Movement Optimise Recovery What are Femoral Condyle Fractures? Int Orthop 2015;39:124550. [50]. Frangakis EK. -, Biau DJ, Schranz PJ. Ercin E, Baca E, Kural C. Arthroscopic. [10] Werner and Miller[11] reported that iatrogenic injury is a cause of Hoffa fracture that cannot be ignored. We prospectively documented all potential cases of non-weight-bearing posterior subchondral impaction fractures of the femoral condyles diagnosed on magnetic resonance imaging (MRI) of the knee performed at our institution between January 2006 and December 2011. In these fractures, the popliteus tendon and the lateral head of the gastrocnemius muscle remain attached to the fragment. 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 Surgical diagrams (A: osteochondral fracture of the lateral femoral condyle; B: fixation of fracture block with Kirschner wire; C: fixation of fracture block with anchor; D: preparation of bone tunnel; E: penetration of PDS line and PDS guidance of anchor suture to the outer entrance of femoral tunnel; F: Operation completion diagram). Conjoint bicondylar, [45]. Recently, impaction fractures in the non-weight-bearing area of the lateral femoral condyle were reported in 16 of 6600 patients who underwent knee MRI. Gao M, Tao J, Zhou Z, et al. Med Sci Monit, 2012, 18: CS117CS120. Werner BC, Miller MD. Min L, Tu CQ, Wang GL, et al. [2]. Chin J Traumatol. PMC Coronal plane partial articular fractures of the distal femoral condyle: current concepts in management. Unfallchirurg 2004;107:1521. Please try after some time. Intra-articular corrective osteotomy for malunited. Wagih AM. Methods All patients with post-injury bi-plane radiographs and MRI images after sustaining a tear to the anterior cruciate ligament were included. Epub 2018 Oct 4. Rofo. Jain A, Agrawal P, Chadha M, et al. Coronal fractures of the medial femoral condyle: a series of 6 cases and review of literature. Somford et al[65] showed that the repair strength of absorbable screw fixation is weak, knee joint activity produces greater shear stress, and there is a risk of screw breakage; thus, careful selection of the surgical plan is recommended. [15]. Arthroscopy 1996;12:2247. FOIA 2021. However, some patients had suture removal during the second arthroscopy because of suture irritation. Diederichs G, Scheffler S. [MRI after patellar dislocation: assessment of risk factors and injury to the joint]. The authors have no conflicts of interest to disclose. The injury to MCL was also observed with MRI. J Orthop Trauma 2006;20:2736. Bilateral. [23]. osteochondral impaction fracture postsurgical (e.g. -, Patel JM, Saleh KS, Burdick JA, Mauck RL. Unable to load your collection due to an error, Unable to load your delegates due to an error. Lee et al[13] reported that Gerdy osteotomy combined with an anterior lateral parapatellar approach provides appropriate exposure for bicondylar Hoffa fractures. J Surg Case Rep 2012;2012:10. [10,38] Local manifestations of a Hoffa fracture include knee swelling, pain, skin color changes (with or without skin defects), limited knee mobility, and a positive floating patella test. Radiographs of knee joint show loose body in joint. [73] This approach is suitable for the treatment of Hoffa fracture with patella dislocation. Intertrochanteric femoral fractures occur mostly in the elderly, and the average age of onset is 66-76 years. Arastu MH, Kokke MC, Duffy PJ, et al. 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. In general, there has been a trend toward . Heuschen UA, Gohring U, Meeder PJ. [10] Some of these patients may have a history of poliomyelitis that predisposes individuals to osteoporosis.

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