Jehan Shah, Loeffler Mark David, Pervez Hamayon
Hull Royal Infirmary, Hull, United Kingdom.
J Pak Med Assoc. 2010 May;60(5):400-1.
Osteochondral fracture of lateral femoral condyle can result from support and other twisting injuries of the knee. Arthroscopy is a better diagnostic and therapeutic tool as standard radiographs can mislead regarding the size and location of the fragment. If fragment is large and displaced, arthrotomy may become necessary. We present a case of large osteochondral fracture of lateral femoral condyle involving the entire articular surface in a 12 year old male. This was treated with open reduction and internal fixation using biodegradable screws. MRI at six weeks after surgery showed satisfactory results. After the surgery full weight bearing was allowed at three months.
股骨外侧髁骨软骨骨折可由膝关节的支撑及其他扭转损伤引起。关节镜检查是一种更好的诊断和治疗工具,因为标准X线片可能会在骨折块的大小和位置方面产生误导。如果骨折块大且移位,可能需要进行切开手术。我们报告一例12岁男性的股骨外侧髁大型骨软骨骨折病例,骨折累及整个关节面。该病例采用可生物降解螺钉进行切开复位内固定治疗。术后六周的MRI显示结果满意。术后三个月允许完全负重。