The distal femur is the area of the leg just above the knee joint. Other common symptoms include: What should I do if I have a fracture of the femoral condyle? Specializes in Family Medicine. The fracture occurs on the femur close to the knee. Distal femoral fractures involve the femoral condyles and the metaphyseal region and are often the result of high energy trauma such as motor vehicle accidents or a fall from a height. What is treatment for Small nondisplaced acute subchondral fracture of the outer aspect of the lateral femoral condyle. When a patient comes in with concern for a femoral condyle fracture, it is crucial to image the fracture first. The purpose of this study was to determine if, in the presence of femoral neck stress fracture, there is a correlation between femoral neck shaft angle, surgical treatment and outcomes. so it is more reasonable to apply a skeletal traction for the hip condyle for 8-10 weeks with a weight of 3-6 kg. Partial articular, coronal plane fractures of the posterior part of femoral condyles are called Hoffa fractures. Treatment is generally operative with ORIF, intramedullary nail . Group 10: Designated LM-F. The patient allows their thigh to hang over the edge of a bench or chair. Lateral condyle, extending to the femorotibial articular surface. High tibial osteotomy has also been utilized to decrease load upon the affected femoral condyle, with favorable outcomes. As with any articular injury, anatomical restoration of the joint surface must be obtained, then lag screw fixation is required. One was associated with a tibial condyle involvement in a series of 8 stress fractures of tibial condyles in old If there is a fracture (break) in part of the condyle, this is known as a fracture of the femoral condyle. [] A Hoffa fracture, a rare fracture confined to the coronal plane of either femoral condyle, accounts for 8.7% to 13% of distal femoral fractures. Post-operatively, all the patients were followed for 12 months. If a condyle fracture happens in the femur, a doctor may repair the injury by placing metal screws in the bone. I also have a XXXXXXX bone bruise.I thought it would get better on its own, which it didn't- and resulted in my visit to the orthopaedic doctor. Medial fractures of the femoral neck often occur in the elderly with a fall on the reduced or withdrawn leg. Although the entity is most frequently encountered at the weightbearing surface of the medial femoral condyle, the lateral femoral condyle or the tibia may also be involved (3a,4a). This intra-articular fracture affects the lateral condyle more commonly than the medial condyle.2 In contrast to nonoperative treatment, open reductioneinternal fixation of these fractures yields good long-term results.1 When over- Physiotherapy is very important during the rehabilitation. Femur fracture treatment without surgery. Conclusions: Early femoral condyle insufficiency fractures following TKA may be a risk in females with poor bone quality and preoperative valgus alignment. In fractures with a vertical fracture line, a buttress plate is necessary to counteract the vertical shear forces. Conclusions: Early femoral condyle insufficiency fractures following TKA may be a risk in females with poor bone quality and preoperative valgus alignment. Clinically Relevant Anatomy. First, if there are rather large amounts of arthritis with cartilage thinning, a program of physical therapy to work on strengthening of the muscles so one has better absorption and puts less stress across the knee, can be indicated. Vascularised bone grafts have been used in the treatment of skeletal defects and persistent atrophic non-unions for many years, particularly when these are associated with . 3 weeks. Rehabilitation Protocol: Microfracture of the Femoral Condyle Name: _____ Date: _____ 4B. Studies have reported incidence ranging from 0.39% to 2.2%, mostly occurring at the femoral condyle or tibial plateau [1,2,3].With the demand for TKA increasing worldwide [4, 5], rare complications are more frequently encountered in our daily clinical management. [] This fracture type was 1st described by Busch in 1869. Subchondral insufficiency fractures are a relatively common cause of knee pain, particularly in older patients. The Hoffa fracture is typically seen in the setting of a motor vehicle accident or a fall from a height. Conservative treatment of fracture of the condyles of the femur and lower leg. A femoral condyle is the ball-shape located at the end of the femur (thigh bone). Fractures of the thighbone that occur just above the knee joint are called distal femur fractures. Casts and splints are usually a lot harder to use on the upper leg. Core Curriculum V5 Introduction • Account for 7% of all femur fractures • Bimodal distribution: High -energy injuries in the young, low- energy in the elderly • Historical treatment • 1960's and earlier: Skeletal traction favored • Neer et al. Rats with knee OA plus ESWT at the lateral femur and tibia condyles post-surgery. Intraoperative fracture is a significant but rarely reported complication during total knee arthroplasty (TKA). Multiple x-rays could be taken from different angles as medical professionals try to determine the best course of action. Osteonecrosis of the medial femoral condyle can be treated in a variety of ways depending on the stage of the disease. The fracture of the distal femoral metaphysis was classified as medial condyle, lateral condyle, or supracondylar based on AP and lateral radiographs. Apply a circular gypsum dressing from the upper third of the thigh to the ends of the fingers on the . In fractures without displacement of fragments, puncture of the knee joint is made, hemarthrosis is eliminated and 20 ml of a 2% solution of procaine are injected. The patient's treatment plan included 6 weeks of weight Keywords: classification, diagnosis, Hoffa fracture, injury mechanism, treatment Coronal plane Hoffa fractures of the femoral condyle are rare injuries first reported by Hoffain 1904. Though treatment options vary widely and include oral/ Unicondylar fractures of the distal femur are rare injuries accounting for less than 1% of all femoral fractures 1, 2 and are partial articular fractures. e) Overgrowth at the lateral condyle can cause an unsightly bump on the outside of the elbow This fracture has a significant risk of problems if undertreated. 1 and 3). The mean age of the patients with femoral condyle fractures identified (n = 23) (Table 1) was 69.4years (range 56-85) at the time of surgery: there were 4 men and 18 women, and 11 left knee and 12 right knee frac-tures. As with any articular injury, anatomical restoration of the joint surface must be obtained, then lag screw fixation is required. Femoral shaft fractures are more common in men after a high-energy impact or in elderly women after a low-energy fall. A femoral stress fracture often starts with a deep, dull gnawing or aching in the groin (inside of the leg) or front of the hip. Doctor's Assistant: How old are you? (b) MR images of the hip show a subchondral fracture line (arrow heads) and bone marrow edema pattern (asterisks . We found only 2 such cases in the literature. What are the symptoms of a fracture of the femoral condyle? After operation, the fracture of femoral condyle healed well and the function of knee joint recovered gradually. Stress fractures of the femur can occur in the whole bone like the neck, shaft and the condyles.Femoral stress fractures mainly develop on the medial compression side of the femoral shaft, within the proximal and middle thirds of the bone. Femoral medial condyle fracture (AO classification 33-B2) is a rare fracture.1-3 To the best of our knowledge, no case reports exist of this fracture treated with a proximal tibial plate. Download Figure Download PowerPoint. Orthopedic followup: Sounds like a traumatic injury, athletic or otherwise. Are you currently using any medications, either . Treatment of a Femoral Condyle Fracture. Question: I was diagnosed with a non-displaced fracture of the medial femoral condyle 4 weeks after I slipped on the ice and landed directly on my left knee cap. 1 Introduction. The medial femoral condyle and other epiphyses are not usual sites for a stress fracture (Daffner 1978), unlike osteonecrosis or posttraumatic intraosseous fractures. FIGURE 2. 1. The femur is the large bone in the upper part of your leg. Fractures of the distal femur typically occur in the axial and sagittal planes. Pain at the trochanteric area speaks in favour of a trochanteric fracture, whereas pain in the groin is typical of a neck fracture. 33B2.1/.2 Partial articular fracture, medial condyle, sagittal simple. Doctor's Assistant: The Doctor can help. In particular, meniscal tears appear to be frequently encountered with these lesions, although existing studies are limited by small numbers and low-field-strength magnetic resonance (MR) imaging systems [7]. Femoral Condyle Treatment: Cartilage damage can be treated in many different ways. The patient was referred to an or-thopaedic surgeon, who recommended conservative management. (a) Plain radiographs taken 2 weeks after the onset of both left and right hip pain show linear increased density lesion in both femoral heads and collapse of the right femoral head. A 27-year-old man with bilateral fatigue-type subchondral stress fracture of the femoral head. Hi Deak - I sustained a lateral femoral condyle fracture (1.1 x 0.8 cm) on my left knee from playing tennis. Fractures of the distal femur typically occur in the axial and sagittal planes. 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. The average size of the insufficiency fracture line measured 12.8 ± 5.0 mm in the coronal plane by 18.8 ± 9.1 mm in the sagittal plane . Trochanteric fractures tend to cause more pain. 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. For more serious damage to the bone, a replacement bone or bone portion may be . FIGURE 1. Distal femur fractures are traumatic injuries involving the region extending from the distal metaphyseal-diaphyseal junction to the articular surface of the femoral condyles. These femur fractures can be treated non-surgically or surgically. Different kinds of trauma can damage this bone, causing it to fracture into 2 or more pieces. This holds the fracture together until it is completely healed. Although subchondral impaction fractures have already been reported in the non-weight-bearing portion of the lateral femoral condyle, this study reveals the presence of an intra-articular impaction fracture of the postero-superior region of the non-weight-bearing portion of the medial femoral condyle recognized in 5 of a group of . Mean BMI was 25.9 (range 20.5-34.0). Complex fractures. Suture anchor system is mostly used to repair rotator cuff and patellar . See fracture clinics for other potential complications. In fractures with a vertical fracture line, a buttress plate is necessary to counteract the vertical shear forces. Discussion The key finding of the present study was that it brought to light the issue of a possible stress increase on the lateral femoral condyle due to a second tunnel placement . Fractures that are stable and properly aligned might be fixed with a brace or a cast. 4A. 27507 Open treatment of femoral shaft fracture with plate/screws, with or without cerclage 27508 Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation 27509 Percutaneous skeletal fixation of femoral fracture, distal end, medial or lateral condyle, Femoral stress fractures have proven to be elusive with the average delay in diagnosis around 14 weeks.57,59 Plain radiographs are typically normal and again, MRI is the best diagnostic test to depict stress fractures of the femur.59. (LTC, Lateral Tibial Condyle.) Meniscal tears and osteoarthritis are often found in . Fractures of the distal femur typically occur in the axial and sagittal planes.

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