Department of Orthopedics and Traumatology, Brugmann Academic Hospital, 4, place Van-Gehuchten, 1020 Bruxelles, Belgium.
Orthop Traumatol Surg Res. 2009 Feb;95(1):85-8. doi: 10.1016/j.otsr.2008.07.001. Epub 2009 Jan 23.
The authors report the case of an osteochondral fracture involving the weight-bearing portion of the lateral femoral condyle in a 23-year-old sportsman. The defect was concomitant to a lateral patellar dislocation involving a rare injury mechanism. Fixation of the osteochondral fragment was performed with bioabsorbable pins and healing was achieved within an acceptable time. Clinical and radiographic outcome at one year is highly satisfactory and bioabsorbable implant fixation reveals to be a worthwhile option in such a case. This rare lesion is diagnostically challenging and requires an adapted and prompt treatment.
作者报告了一例发生在 23 岁运动员的外侧股骨髁负重部分的骨软骨骨折。该缺损伴随着外侧髌骨脱位,涉及一种罕见的损伤机制。采用可吸收钉固定骨软骨碎片,在可接受的时间内愈合。一年时的临床和放射学结果非常满意,可吸收植入物固定在这种情况下是一种有价值的选择。这种罕见的损伤具有诊断挑战性,需要进行适应性和及时的治疗。