nach oben

Knee Surgery, Sports Traumatology, Arthroscopy

Erschienen in:

01.06.2014 | Knee

Fixation of chondral fracture of the weight-bearing area of the lateral femoral condyle in an adolescent

verfasst von: Chung Ming Chan, Joseph J. King III, Kevin W. Farmer

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 6/2014

Einloggen, um Zugang zu erhalten

Abstract

Purely chondral fractures of the distal femur associated with patellar dislocation are uncommon, and treatment varies from fixation to debridement and marrow stimulation techniques. The unusual case reported here involves an adolescent who underwent fixation of a purely chondral fracture involving a large weight-bearing portion of the lateral femoral condyle. Chondral fracture healing was confirmed on follow-up magnetic resonance imaging and arthroscopic examination. This case suggests that fixation of purely chondral fractures can be successful in weight-bearing areas of the knee.

Level of evidence V.

Callewier A, Monsaert A, Lamraski G (2009) Lateral femoral condyle osteochondral fracture combined to patellar dislocation: a case report. Orthop Traumatol Surg Res 95:85–88PubMedCrossRef

Frank RM, Wilson JB, Slabaugh MA, Usaf M, Smith T, Bush-Joseph CA (2009) Isolated chondral fragment of the lateral femoral trochlea in an adolescent: surgical technique and case report. J Orthop 6(4):2

Gilley JS, Gelman MI, Edson M, Metcalf RW (1981) Chondral fractures of the knee. Radiology 138:51–54PubMed

Maletius W, Lundberg M (1994) Refixation of large chondral fragments on the weight-bearing area of the knee joint: a report of two cases. Arthroscopy 10:630–633PubMedCrossRef

Mashoof AA, Scholl MD, Lahav A, Greis PE, Burks RT (2005) Osteochondral injury to the mid-lateral weight bearing portion of the lateral femoral condyle associated with patellar dislocation. Arthroscopy 21:228–232PubMedCrossRef

Mayer G, Seidlein H (1998) Chondral and osteochondral fractures of the knee joint—treatment and results. Arch Orthop Trauma Surg 107:154–157CrossRef

Milgram JE (1943) Tangential osteochondral fracture of the patella. J Bone Joint Surg Am 27:271–280

Nakamura N, Horibe S, Iwahashi T, Kawano K, Shino K, Yoshikawa H (2004) Healing of a chondral fragment of the knee in an adolescent after internal fixation. A case report. J Bone Joint Surg Am 86:2741–2746PubMed

Noh JH, Song SJ, Bae JY, Roh YH, Kim W, Yang BG (2012) Fixation of a chondral fragment of the knee in an adult. JBJS Case Connect 2(e83):1–5

10.

Nomura E, Inoue M, Kurimura M (2003) Chondral and osteochondral injuries associated with acute patellar dislocation. Arthroscopy 19:717–721PubMedCrossRef

11.

Plaga BR, Royster RM, Donigian AM, Wright GB, Caskey PM (1992) Fixation of osteochondral fracture in rabbit knees. A comparison of Kirschner wires, fibrin sealant, and polydioxanone pins. J Bone Joint Surg Br 74:292–296PubMed

12.

Rorabeck CH, Bobechko WP (1976) Acute dislocation of the patella with osteochondral fracture. J Bone Joint Surg Br 58:237–240PubMed

13.

Stanitski CL, Paletta GA (1998) Articular cartilage injury with acute patellar dislocation in adolescents: arthroscopic and radiographic correlation. Am J Sports Med 26:52–55PubMed

14.

Uchida R, Toritsuka Y, Yoneda K, Hamada M, Ohzono K, Horibe S (2012) Chondral fragment of the lateral femoral trochlea of the knee in adolescents. Knee 19:719–723PubMedCrossRef

15.

Virolainen H, Visuri T, Kuusela T (1993) Acute dislocation of the patella: MR Findings. Radiology 189:243–246PubMed

16.

Walsh SJ, Boyle MJ, Moranti V (2008) Large osteochondral fractures of the lateral femoral condyle in the adolescent: outcome of bioabsorbable pin fixation. J Bone Joint Surg Am 90:1473–1478PubMedCrossRef

Titel: Fixation of chondral fracture of the weight-bearing area of the lateral femoral condyle in an adolescent
verfasst von: Chung Ming Chan
Joseph J. King III
Kevin W. Farmer
Publikationsdatum: 01.06.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 6/2014
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-013-2833-0

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

23.04.2024 | Leitsymptom Rückenschmerzen | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Fixation of chondral fracture of the weight-bearing area of the lateral femoral condyle in an adolescent

Abstract

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2014

An anterior ankle arthroscopic technique for retrograde osteochondral autograft transplantation of posteromedial and central talar dome cartilage defects

Clinical and MRI evaluation of medium- to long-term results after autologous osteochondral transplantation (OCT) in the knee joint

Cartilage extra-cellular matrix biomembrane for the enhancement of microfractured defects

Graft hypertrophy of matrix-based autologous chondrocyte implantation: a two-year follow-up study of NOVOCART 3D implantation in the knee

Surgical management of osteochondritis dissecans of the knee in the paediatric population: a systematic review addressing surgical techniques

T2 values of articular cartilage in clinically relevant subregions of the asymptomatic knee

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Update Orthopädie und Unfallchirurgie