Mostowy Marcin, Piękoś Jakub, Bocheński Wojciech, Pękala Przemysław A, LaPrade Robert F, Malinowski Konrad
Orthopedic and Trauma Department, Veterans Memorial Teaching Hospital in Lodz, Medical University of Lodz, Lodz, Poland.
Artromedical Orthopedic Clinic, Bełchatów, Poland.
Arthrosc Tech. 2024 Dec 1;14(4):103329. doi: 10.1016/j.eats.2024.103329. eCollection 2025 Apr.
Impaction fractures of lateral femoral condyle (LFC-IF) are challenging entities following anterior cruciate ligament tears. Anatomic reduction and restoration of the native LFC curvature is crucial in their treatment, because if they are neglected, it may potentially lead to incongruence in the lateral knee compartment with subsequent cartilage deterioration or damage to other intra-articular structures. Previously established operative techniques seem to achieve these milestones, yet there is still a potential risk of cartilage breakage or nonanatomical reduction. The presented technique addresses those weak points by the use of patient-specific implants, which provides the opportunity to closely restore the anatomical LFC curvature with minimal risk of osteochondral fracture of the LFC-IF site.
股骨外侧髁嵌插骨折（LFC-IF）是前交叉韧带撕裂后具有挑战性的病症。在其治疗中，对天然股骨外侧髁曲率进行解剖复位和恢复至关重要，因为如果忽视这些骨折，可能会导致外侧膝关节腔不协调，继而引发软骨退变或其他关节内结构损伤。先前已确立的手术技术似乎能达成这些目标，但仍存在软骨破裂或非解剖复位的潜在风险。本文所介绍的技术通过使用定制植入物解决了这些薄弱环节，这为以最小的LFC-IF部位骨软骨骨折风险来精确恢复股骨外侧髁解剖曲率提供了机会。
