Anatomical Pearls: The articular surface of the lateral tibial plateau is flat or slightly convex in relation to the medial tibial plateau that is concave, which provides greater congruity with the medial femoral condyle than on the lateral side. Micro-trabecular fractures also tend to occur near the knee and ankle, where ligaments and tendons block the minute fractures from view. Clinically Relevant Anatomy. One example of these fractures is a medial condyle fracture. Shelby Miller Date: February 03, 2022 A diagram of the knee, showing the medial femoral condyle, where the medial collateral ligament attaches to the femur.. Arthroscopic enucleation : The first retrospective describing arthroscopic debridement of OCL 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. Distal locking screw prominence is … Five patients had valgus alignment (mean, 15.2°) preoperatively and sustained fracture of the unloaded medial femoral condyle. Two patients had varus alignment (mean, 7.0°) preoperatively and both fractured the unloaded lateral condyle. The second knee arthroscopy proved that it was feasible to use TWINFIX Ti suture anchor “X” internal fixation in the treatment of osteochondral fracture of the lateral femoral condyle. Other factors that affect treatment include the level of activity in patients … All medial condyle fractures require a review with … Often your doctor will suggest or recommend that it be treated surgically. Spontaneous osteonecrosis of the knee (SONK) is an idiopathic condition that leads to the development of a crescent shaped osteonecrosis lesion, mostly commonly in the epiphysis of the medial femoral condyle. The femur forms the upper part of the knee joint. Patients received a free vascularized medial femoral condyle graft (Group 1: 18 patients) or distal radial bone graft based on a 1,2 intercompartmental supraretinacular artery pedicle (Group 2: 21 patients). A double sugar-tong splint. SIFK typically presents with acute knee pain localized to the area of the subchondral fracture [1,2]. To the best of our knowledge, no case reports exist of this fracture treated with a proximal tibial plate. Surgical treatment of femoral medial condyle fracture with lag screws and proximal tibial plate: A case report. Hi Deak - I sustained a lateral femoral condyle fracture (1.1 x 0.8 cm) on my left knee from playing tennis. articular cartilage of the medial femoral condyle with marrow edema in the medial tibial plateau. Seen from an end-on view, the lateral surface has a 10° inclination from the vertical, while the medial surface has a 20–25° slope. The lateral meniscus is unremarkable. •Identify common fracture patterns •Apply treatment principles and strategies •Partial articular fractures ... 55-70% of fractures •Medial Plateau: 10-20% of fractures •Bicondylar Plateau: 10-30% of fractures. Regular manual treatment should be conducted to the patella and all incisions; no direct scar mobilization at surgical portals X 4 weeks or per MD. Lesions of the medial femoral condyle represent up to 94 percent of cases [8]. [3,4] In 1888, Hoffa described coronal fracture of the femoral condyle but did not indicate the source of the previous reference. One was associated with a tibial condyle involvement in a series of 8 stress fractures of tibial condyles in old In the femur, the Sham group exhibited the lowest surface cartilage involvement, at 0.606 ± 0.441%, which was at Stage I and classified as normal. Femoral periprosthetic fractures. The lateral meniscus is unremarkable. Because this mechanism is similar to the humeral head that has an impact on the glenoid during an anterior shoulder dislocation, such an osteochondral … Fracture occurred on average 24.9 days from the index surgery and secondary to a low energy mechanism. Background: Postoperative knee soft tissue irritation is a common complication after retrograde nail fixation of femoral fractures. Spontaneous osteonecrosis of the knee is due to an overload of the medial compartment, primarily the medial femoral condyle, leading to a swelling of the bone on MRI and an overload of the articular cartilage surface. Arthroscopic Treatment of Medial Femoral Condylar Coronal Fractures and Nonunions Ersin Ercin, M.D., M. Gokhan Bilgili, M.D., S. Hakan Basaran, M.D., Emre Baca, M.D., Cemal Kural, M.D., and M. Cevdet Avkan, M.D. The fixed sutures on the femoral surface did not have much effect on the joints, and the patients did not feel any discomfort. Abstract: Nonunion of medial femoral condylar coronal fractures are uncommon. Patients with osteoarthritis who want a nonarthroplasty The locking compression plate for proximal tibia is an acceptable solution for femoral medial condyle fracture. This overload can lead to insufficiency fractures and the rapid wear of the articular cartilage. A femoral fracture is a fracture of the femur (thigh bone). Summary: Nonunited fractures of the femoral shaft and distal femur are usually successfully addressed with stabilization with or without autogenous bone grafting. For bipolar procedures, it can be advantageous to start with the compartment furthest from the surgeon, so the irst cannula is not in the way of inserting the second. The lesions were located on the medial femoral condyle in 8 (72.7%) cases and on the medial tibial plateau in 3 cases (27.3%). Other treatment options include corticosteroid injection into the cyst lining and cartilage grafting procedures. Spontaneous osteonecrosis of the knee (SONK) is an idiopathic condition that leads to the development of a crescent shaped osteonecrosis lesion, mostly commonly in the epiphysis of the medial femoral condyle. Calcification usually begins to form a few weeks after the initial injury. Light to no resistance stationary cycling is okay at 2 weeks post-op. Your doctor will consider all aspects of an ankle fracture when deciding whether to recommend surgery or not. Not all medial malleolar fractures require surgery. The bone will heal with or without surgery in around six to eight weeks. The purpose of surgery is to stabilize the bone in its proper position while the bone is healing. We found only 2 such cases in the literature. However, the maximum length of the flap should be limited to 7 cm because larger flaps may risk iatrogenic femur fracture when subjected to torsional loading. 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. As the Hospital for Special Surgery explains, during stage I, patients are advised to take pressure off the bad knee … Distal femur fractures are traumatic injuries involving the region extending from the distal metaphyseal-diaphyseal junction to the articular surface of the femoral condyles. Two (18.18%) participants were classified as Kellgren-Lawrence grade 1, 6 (54.55%) were classified as grade 2, … The same basic steps can be used for lateral compartment defects, or for single compartments. To repair the defect, the surgeon utilized fluoroscopic visualization and an intraosseous device to inject 5 ml of calcium phosphate into the defect of the medial femoral condyle via small poke holes. A femoral shaft fracture is defined as a fracture of the diaphysis occurring between 5 cm distal to the lesser trochanter and 5 cm proximal to the adductor tubercle occurs by chronic, repetitive activity that is common to … Nonsurgical treatment is used if the disease is only within the first or second stages. It also extends into the meniscal body. The classic and most common location of OCD in the knee is the lateral (intercondylar) aspect of the medial femoral condyle (52,53) , followed by the extended classic (also involving the central weight-bearing area) and inferocentral (weight-bearing) locations and lateral condylar and patellar lesions. The locking compression plate for proximal tibia is an acceptable solution for femoral medial condyle fracture. medial femoral condyle and tibial plateau. Reverse Segond fracture is one of the avulsion fractures of the knee, which is due to the avulsion of the deep fibers of the medial collateral ligament (also known as the meniscotibial or coronary ligament) involving the medial proximal tibia adjacent to the articular surface. Introduction. To the best of our knowledge, no case reports exist of this fracture treated with a proximal tibial plate. In order to get a washer type of buttressing effect, a Synthes calcaneal locking plate (West Chester, PA) was contoured to sit flush against the medial femoral condyle. The descending geniculate artery supplies a large portion of the medial femoral condyle and distal femur. Treatment of a Femoral Condyle Fracture When a patient comes in with concern for a femoral condyle fracture, it is crucial to image the fracture first. Palpable as a hard, rounded bump to the inside of either knee joint, they are one of two … A double sugar-tong splint is an alternative to the long arm posterior splint. In the femur, the Sham group exhibited the lowest surface cartilage involvement, at 0.606 ± 0.441%, which was at Stage I and classified as normal. Crutches brace: A non displaced fracture of the femoral condyle can be treated with non weight bearing/ crutches and bracing to prevent deformity in specific cases . Femoral medial condyle fracture (AO classification 33-B2) is a rare fracture [ [1], [2], [3] ]. It is the opposite of the Segond fracture, which involves the lateral proximal tibia. 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. Background: Postoperative knee soft tissue irritation is a common complication after retrograde nail fixation of femoral fractures. It is the opposite of the Segond fracture, which involves the lateral proximal tibia. The patients are usually over 50 and have a sudden, non traumatic onset of severe knee pain that Note that differences exist between studies in composition of treatment groups and key outcome measures. Femoral medial condyle fracture (AO classification 33-B2) is a rare fracture [ [1], [2], [3] ]. In case of vertical fracture lines, screw fixation and buttress plates are necessary to achieve stability. Shelby Miller Date: January 28, 2022 The popliteus originates on the lateral femoral condyle and is involved in rotation of the knee joint.. Femoral condyles are the pair of round bony protrusions emanating from either side of the bottom of the femur bone in the thigh. One presumed mechanism of injury is a Stieda fracture (avulsion injury of the medial collateral ligament at the medial femoral condyle). Lateral condyle, extending to the femorotibial articular surface. Reverse Segond fracture is one of the avulsion fractures of the knee, which is due to the avulsion of the deep fibers of the medial collateral ligament (also known as the meniscotibial or coronary ligament) involving the medial proximal tibia adjacent to the articular surface. This is almost always present in the posterolateral aspect of the medial femoral condyle in skeletally immature patients. Tibial Plateau Fracture. 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).

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