Osteochondral defects of LFC are usually caused by lateral patellar dislocation, most of which are located on the medial side of patella. 2007 Oct;23(10):1133.e1-4. (A) One 1.5mm Kirschner wire temporarily fixed the fracture block of the lateral condyle of the femur. Acta Orthop Traumatol Turc. [1]. [36]. Ji G, Wang S, Wang X, et al. Treatment and prognosis. [42] Compared with anteroposterior and lateral films, oblique radiographic views can show minimally displaced fractures better[14] and can, therefore, be used as a routine examination method for a Hoffa fracture. [104]. [98]. 2013;185:61120. The bone contusions on the lateral femoral condyle, lateral aspect of the tibial plateau, medial femoral condyle, and medial aspect of the tibial plateau were documented. Hoffa fracture with cruciate ligament, lateral collateral ligament, or meniscus injuries can be treated with arthroscopic surgery,[90] which has the advantages of minimal invasion, less of an effect on blood supply, early postoperative return to functional exercise, and effective prevention of nonunion and joint stiffness. The Letenneur classification[31] divides fractures into 3 types (Fig. Cartilage injury of lateral femoral condyle (LFC) caused by patellar dislocation is very common, with an incidence rate of 31% to 40%. femoral shaft fracture presentation Technique for Treatment of Subchondral Compression Fracture of the Radiographic appearance The patient's treatment plan included 6 weeks of weight bearing as tolerated for the left lower extremity while wearing a knee brace that prevented the final 20 of knee extension, and a program of range-of-motion and progressive resistive exercises, with eventual emphasis on sport-specific activities. Our hospital's institutional review board waived the need for ethical approval for this review paper. After hospitalization, the patients underwent computed tomography scan and magnetic resonance examination. Keyword Highlighting Vivek T, Saubhik Da, Sahil G, et al. doi: 10.1016/j.eats.2020.02.016. According to the severity of Hoffa fracture and combined injuries, a reasonable treatment plan can be developed. Manfredini M, Gildone A, Ferrante R, et al. 2018 Oct;21(5):308-310. doi: 10.1016/j.cjtee.2018.08.004. 1982;68:31725. deep lateral sulcus sign - depression of lateral femoral condyle representing impaction fracture anterior tibial translocation sign Segond fracture arcuate fracture joint effusion CT Considered to have high specificity and sensitivity in detecting anterior cruciate ligament disruption 6. [83]. Biau DJ, Schranz PJ. Werner BC, Miller MD. Hoffa nonunion, two cases treated with headless compression screws. Arthroscopic; Internal fixation; Osteochondral fracture; Suture anchor; TWINFIX Ti. Recurrence after patellar dislocation. Reconstructive osteotomy for a malunited medial. Osteochondral Fracture Lateral Femoral Condyle Treated with - Hindawi Hoffa fractures are most commonly caused by traffic accidents, especially motorcycle accidents. Potini VC, Gehrmann RM. 1994;2:1926. Refixation of large osteochondral fractures after patella dislocation shows better mid- to long-term outcome compared with debridement. doi: 10.1097/MD.0000000000032104. Moreover, even if the medial patellar retinaculum is strengthened, the patient still has symptoms such as anterior knee pain. Coronal MRI images were reexamined 18 months after operation, MRI = magnetic resonance.
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