2021 Jan 26;9(1):2325967120974649. doi: 10.1177/2325967120974649. Would you like email updates of new search results? This method is beneficial for reducing small and rotating fragments. This is the first case to apply the suture anchor system to the reduction and fixation of fracture. Lateral femoral notch sign (knee) | Radiology Reference Article [83]. Coronal fractures of the lateral femoral condyle. Subchondral insufficiency fracture of the knee is not thought to be caused by bone death but instead by osteoporosis and insufficiency fractures, with histopathologically proven origins in weakened trabeculae and applied microtraumatic forces 6,13. Ann Chir 1978;32:2139. [5] Viskontas et al[69] reported an extensile medial subvastus approach that allows better exposure of the surgical field and protects the blood supply of the bones comparing with the medial parapatellar approach. doi: 10.1097/MD.0000000000032104. An unusual fracture of the lateral femoral condyle in a child. You may be trying to access this site from a secured browser on the server. ASER Core Curriculum Illustration Project: coronal femoral condyle (Hoffa) fracture. Research Article: Systematic Review and Meta-Analysis. Rosenberg NJ. Operative, [46]. High-energy trauma is a common cause of a Hoffa fracture, although low-energy trauma and iatrogenic injury can also lead to these fractures. Impaction Fracture of the Medial Femoral Condyle to maintaining your privacy and will not share your personal information without Hoffa fragment associated with a femoral shaft fracture. 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 Arthroscopic-assisted fixation of. Bone contusion and associated meniscal and medial collateral - PubMed normal vital signs. [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. Lateral Femoral Condyle (LFC) osteochondral fracture (HSL, Hill-Sachs-like Lesion) can be seen in 30 of knee flexion. Your message has been successfully sent to your colleague. For simple lateral condylar Hoffa fractures, a patellar anterolateral approach is most commonly used. (C) CT examination of the left knee joint: the continuity of the subarticular bone of the lateral condyle of the left femur was interrupted. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. Chauhan A. Irreducible, incarcerated vertical dislocation of the patella into a. After hospitalization, the patients underwent computed tomography scan and magnetic resonance examination. Bicondylar. Type II is a fracture horizontal to the base of the posterior condyle with fracture lines located posterior to the attachment point of the lateral collateral ligament. [98]. 2021;13(1_suppl):966S73S. [2,77] The heads of screws placed through the articular cartilage are countersunk to prevent damage to the cartilage. J Orthop Surg Res 2012;7:21. We used the key words Hoffa fracture and coronal fracture of femoral condyle for the knowledge. The term comminuted fracture refers to a bone that is broken in at least two places. [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. Posterior wall blowout in anterior cruciate ligament reconstruction: avoidance, recognition, and salvage. [16]. Commonly used classifications include the Letenneur classification, a computed tomography (CT) classification, the AO classification, and modified AO classification. Internal fixation with lag screws plus an antigliding plate for the, [88]. Based on plate position, screws can be combined with a lateral antigliding plate[84] or a posterior antigliding plate.[55,87]. Tan Y, Li H, Zheng Q, et al. [1,2] However, most LFC cartilage injuries are located in the anterior non-weight-bearing area. In such cases, the forces necessary for closed reduction can result in cartilage injury or a small avulsion fracture of the patella. [76,77] Fixation with 2 or more screws can prevent rotation and rotational displacement. [47]. [18]. Jiang YR, Wang ZY, Zhang DB, et al. [31]. Cartilage injury of lateral femoral condyle (LFC) caused by patellar dislocation is very common, with an incidence rate of 31% to 40%. Partial ceramic crowns: influence of ceramic thickness, preparation design and luting material on fracture resistance and marginal integrity in vitro. Introduction. Data is temporarily unavailable. Impact fractures can be classified either as ductile or brittle depending on the elongation pattern that is present. Anchor absorbable suture bridge fixation for this kind of OCF is not only effective, but also economical. Bookshelf You will need surgery to repair your bone, and recovery can take a year or longer. Surgical, [71]. [28]. Epub 2018 Oct 4. Get new journal Tables of Contents sent right to your email inbox, http://creativecommons.org/licenses/by-nc-nd/4.0, Hoffa fracture of the femoral condyle: Injury mechanism, classification, diagnosis, and treatment, Articles in Google Scholar by Yabin Zhou, MD, Other articles in this journal by Yabin Zhou, MD, Cemented versus uncemented hemiarthroplasty for displaced femoral neck fractures: A meta-analysis of randomized controlled trails, Hoffa fracture combined with rotational dislocation of the knee joint: A novel case report, PET/CT-negative malignant spine tumor with pathologic fracture: A case report of malignant solitary bone plasmacytoma, Prognostic factors to survival of patients with chondroblastic osteosarcoma, Ankle joint dislocation treating dislocated trimalleolar fractures accompanied with the complex posterior malleolus fracture without separation of the tibiofibular syndesmosis, Privacy Policy (Updated December 15, 2022). [7,10] The finding of medial or lateral stress test and anterior and posterior drawer test were reported to be positive in some patients. Two bone tunnels are made from anteromedial to posterolateral with 2mm Kirschner wire at the front edge of osteochondral mass. J Knee Surg. Acta Orthop Traumatol Turc 2014;48:3837. Previous article . 2003;19:71721. The main cause of a Hoffa fracture is a high-energy injury such as those sustained in traffic collisions (80.5% of cases) and falls (9.1% of cases). We present a case of large osteochondral fracture of lateral femoral condyle involving the articular surface in a fifteen-year-old male with a positive history of significant weight gain of 5 kilograms in last six months. [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. 2007;41 Suppl 2:105-12. Acta Orthop Traumatol Turc. Conjoint bicondylar, [45]. Unicondylar femoral fractures: therapeutic strategy and long-term results. According to the internal fixation principle, the antiglide plate should be fixed in the posterior position. 2022 Dec 16;101(50):e32104. [21]. 2012;40:191623. Anchor absorbable suture bridge fixation is rigid enough, which can avoid second operation, save cost and good outcome could be expected, which is worth exploring; Of course, a large number of clinical data are needed for further comparative study. 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. [21]. The patient felt pain in his right knee and limited movement. Callewier A, Monsaert A, Lamraski G. Lateral. [2]. J Trauma 2000;48:15960. [100]. Shah et al[19] systematically reviewed the recurrent patellar dislocation and found that the complication rate of patellar medial collateral ligament reconstruction was as high as 26.1%. (A) Use of anterior cruciate ligament locator to assist drilling at the distal end of the femur. On lateral radiographs, the normal femoral condyles overlap, and bone cortex interruption may not be visible. [91]. [97]. Knee Surg Sports Traumatol Arthrosc. Femoral Condyle Fractures are a painful condition which can result from trauma injuries to the thigh bone and/or knee. Osteochondral fractures of the lateral. [37]. 2021. -. [Treatment of extensive chondral defects of the patella after patellar dislocation]. 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. Ercin E, Baca E, Kural C. Arthroscopic. Femoral condyle insufficiency fractures: associated clinical and Coronal fractures of the medial femoral condyle: a series of 6 cases and review of literature.
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