Sharath Ramanath K, Gadi Daksh, Grover Amit, Gour Sandeep Kumar
Department of Orthopaedics, MS Ramaiah Medical College, Bangalore, India.
Arch Trauma Res. 2015 Dec 1;4(4):e25313. doi: 10.5812/atr.25313. eCollection 2015 Dec.
An isolated coronal fracture of either or both femoral condyles is a rare entity and is usually associated with high-energy injury trauma. Such fractures should be meticulously fixed for a good functional outcome as they involve the articular surface of a weight bearing joint. A modified swashbuckler approach provides adequate exposure for appropriate reduction and fixation of such fractures.
A 32-year-old male sustained a bicondylar Hoffa fracture of the right femur which was treated by open reduction and internal fixation using a modified swashbuckler approach. At two years of follow-up, the patient had excellent radiological and functional outcome.
In our study, we treated this rare fracture successfully using a modified swashbuckler approach and found it to be a good approach for such fractures as compared to the conventional approach.
单侧或双侧股骨髁孤立性冠状面骨折是一种罕见的情况，通常与高能损伤创伤相关。由于此类骨折累及负重关节的关节面，因此应精心固定以获得良好的功能结果。改良的海盗式入路可为这类骨折的适当复位和固定提供充分暴露。
一名32岁男性发生右股骨双髁霍法骨折，采用改良的海盗式入路进行切开复位内固定治疗。随访两年时，患者获得了优异的影像学和功能结果。
在我们的研究中，我们使用改良的海盗式入路成功治疗了这种罕见骨折，并发现与传统入路相比，该入路对此类骨折是一种良好的方法。
