J Bone Joint Surg Am. Medial Femoral Condyle Flap | SpringerLink This article discusses anatomic considerations, classification of condylar fractures, indications for surgery, treatment options, and complications. This type of surgery is considered the gold standard because the cartilage has an excellent chance of healing and if one follows a proper rehabilitation program with low impact activities only for the first year after implantation, there are excellent outcomes described in the literature for this procedure. -. sharing sensitive information, make sure youre on a federal The sagital plane is a vertical plane that runs from front to back and decides the body from side to side. Please enable it to take advantage of the complete set of features! Hoffa fracture of the femoral condyle: Injury mechanism, classification official website and that any information you provide is encrypted Pain due to bone insufficiency as a symptom heralding femoral neck fracture. Lateral view after reduction. A significant alteration in the carrying angle of the elbow has not been demonstrated in long-term studies and does not appear to be a major issue with these fractures. Curr Opin Pediatr. Hoffa fracture of the femoral condyle - PMC - National Center for 2010;18:597607. Informed consent was obtained for the surgery. Protective splinting may be continued for 3 weeks if necessary. Shillington M, Collins B, Walsh HP. Associated features that may predict prognosis include: associated meniscal tear and degree of extrusion. 2013 Feb;42(2):177-85. doi: 10.1007/s00256-012-1492-4. 11. encoded search term (Medial Humeral Condyle Fracture) and Medial Humeral Condyle Fracture. 2015 Jun. Surgery can consist initially of cleaning up the rough edges and seeing how the patient does. 8600 Rockville Pike Therapists must tailor their therapy plan to avoid contracture caused by calcification of the medial collateral ligament. Murali Poduval, MBBS, MS, DNB is a member of the following medical societies: Association of Medical Consultants of Mumbai, Bombay Orthopedic Society, Indian Orthopedic Association, Indian Society of Hip and Knee SurgeonsDisclosure: Nothing to disclose. Primary osteonecrosis of the femoral condyle shares several features with insufficiency fractures, including predominance in elderly women with factors responsible for mechanical stress (varum, obesity, trivial trauma), mechanical pain, and increased radionuclide uptake. For nondisplaced or minimally displaced medial epicondyle fractures, nonoperative management is the procedure of choice. [QxMD MEDLINE Link]. Dr. La Prade had just moved to Vail and I was his 2nd patient @ The Steadman Clinic. The authors concluded that favorable clinical and radiologic outcomes at long-term follow-up may be achievable by using two smooth K-wires for younger children and screw fixation for children near skeletal maturity. Isolated coronal fracture of medial femoral condyle with intact lateral femoral condyle is extremely rare [[1], [2], [3]], caused by a direct impact on the flexed knee during weight bearing [3]. The .gov means its official. Radiographs and computed tomography demonstrated a femoral medial condyle fracture in the right knee (AO classification: 33-B2). In many studies, including long-term follow-up reports, patients treated nonsurgically had results similar to those of patients treated surgically, even for fracture fragments displaced as much as 15 mm. Contact us to make an appointment. Chap 17. 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). Here, we present a case with femoral medial condyle fracture treated with a proximal tibial plate. The https:// ensures that you are connecting to the Patel NM, Ganley TJ. 2019 Aug. 45 (4):757-761. Treatment of an avulsion fracture typically includes resting and icing the affected area, followed by controlled exercises that help restore range of motion, improve muscle strength and promote bone healing. Clin. These joints are covered by articular cartilage. In this case, replacing both of the bone and cartilage would be indicated. An official website of the United States government. 1997 Nov. 5 (6):303-312. [QxMD MEDLINE Link]. International Journal of Surgery Case Reports. This is the first study to identify the incidence, risk factors, location and outcome of these fractures in an Asian population with modern posterior-stabilized (PS) TKA.

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