scholarly journals Osteochondral Fracture Lateral Femoral Condyle Treated with ORIF Using Z-Plasty: A Modification of Coonse and Adams Approach

2011 ◽  
Vol 2011 ◽  
pp. 1-5
Author(s):  
Sanjay Agarwala ◽  
Ganesh S. Mohrir ◽  
Brijbhushan S. Mahajan
Keyword(s):  
Vitamin D ◽  
Articular Surface ◽  
Femoral Condyle ◽  
Weight Bearing ◽  
Lateral Femoral Condyle ◽  
Full Weight Bearing ◽  
Elevated Alkaline Phosphatase ◽  
Osteochondral Fracture ◽  
History Of ◽  
One Year

Osteochondral fractures of lateral femoral condyle are common in adolescents and young adults. They are usually caused by direct trauma or twisting injuries of the knee. We present a case of large osteochondral fracture of lateral femoral condyle involving the articular surface in a fifteen-year-old male with a positive history of significant weight gain of 5 kilograms in last six months. Blood investigations reported low vitamin D and testosterone levels with elevated alkaline phosphatase. Adequate exposure was achieved by doing Z-plasty of quadriceps apparatus. The fracture was treated with open reduction and internal fixation using Herbert's screws. Medical management in the form of vitamin D and calcium along with testosterone was given. After the surgery, full weight-bearing was allowed at three months. At one year followup, patient has good quadriceps function without any weakness of the muscle.

scholarly journals Successful utilization of triphasic silica containing ceramic coated hydroxyapatite (HASi) for the treatment of comminuted tibial fracture in a goat: a case report

2021 ◽  
Vol 52 (2) ◽  
Author(s):  
Rahul Rao ◽  
P. T. Dinesh ◽  
S. Sooryadas ◽  
George Chandy ◽  
Manju Mathew
Keyword(s):  
Hind Limb ◽  
Tibial Fracture ◽  
Dynamic Compression ◽  
Weight Bearing ◽  
Segmental Defect ◽  
Dynamic Compression Plate ◽  
Comminuted Fracture ◽  
Compression Plate ◽  
History Of ◽  
One Year

A one year old female Sirohi crossbred goat was presented with a history of non weight bearing lameness on right hind limb. Radiography revealed comminuted fracture of tibial mid diaphysis. The comminuted fracture fragments and bone devoid of any soft tissue were surgically removed and the resultant segmental defect was reinstated with triphasic silica containing ceramic coated hydroxyapatite (HASi) after stabilising the fracture fragments with 2.7mm dynamic compression plate and screws. The animal recovered with normal limb ambulation after the eighth post-operative week.

Subchondral impaction fractures of the non-weight-bearing portion of the lateral femoral condyle

2012 ◽  
Vol 42 (2) ◽  
pp. 177-185 ◽  
Author(s):  
Ruben Depasquale ◽  
Anastasia Fotiadou ◽  
Dalavaye Suresh Kumar ◽  
Radhesh Lalam ◽  
Bernhard Tins ◽  
...  
Keyword(s):  
Femoral Condyle ◽  
Weight Bearing ◽  
Lateral Femoral Condyle

scholarly journals Treatment of a Femur Nonunion with Microsurgical Corticoperiosteal Pedicled Flap from the Medial Femoral Condyle

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Matteo Guzzini ◽  
Cosma Calderaro ◽  
Marco Guidi ◽  
Carolina Civitenga ◽  
Germano Ferri ◽  
...  
Keyword(s):  
Distal Femur ◽  
Femoral Condyle ◽  
Weight Bearing ◽  
Donor Site ◽  
Pedicled Flap ◽  
Medial Femoral Condyle ◽  
Full Weight Bearing ◽  
Genicular Artery ◽  
Reconstruction Of Bone Defects

Introduction. The vascularized corticoperiosteal flap is harvested from the medial femoral condyle and it is nourished by the articular branch of the descending genicular artery and the superomedial genicular artery. This flap is usually harvested as a free flap for the reconstruction of bone defects at forearm, distal radius, carpus, hand, and recently at lower limb too.Case Report. A 50-year-old Caucasian man referred to our department for hypertrophic nonunion of the distal femur, refractory to the conservative treatments. The first surgical choice was the revision of the nail and the bone reconstruction with a corticoperiosteal pedicled flap from the medial femoral condyle. We considered union to have occurred 3.5 months after surgery when radiographs showed bridging of at least three of the four bony cortices and clinically the patient was able to walk with full weight bearing without any pain. At the last follow-up (25 months), the patient was completely satisfied with the procedure.Discussion. The corticoperiosteal flap allows a faster healing of fractures with a minimal morbidity at the donor site. We suggest that the corticoperiosteal pedicled flap graft is a reliable and effective treatment for distal femur nonunion.

Osteochondral Fracture of the Distal Lateral Femoral Condyle

2006 ◽  
Vol 20 (5) ◽  
pp. 358-362 ◽  
Author(s):  
Lisa A. Taitsman ◽  
Joshua B. Frank ◽  
William J. Mills ◽  
David P. Barei ◽  
Sean E. Nork
Keyword(s):  
Femoral Condyle ◽  
Lateral Femoral Condyle ◽  
Osteochondral Fracture

scholarly journals Treatment of pertrochanteric fractures in elderly patients: is dynamic fixation so important?

2021 ◽  
Vol 27 (5) ◽  
pp. 502-507
Author(s):  
I.M. Shcherbakov ◽  
◽  
V.E. Dubrov ◽  
A.S. Shkoda ◽  
Yu.S. Zlobina ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Weight Bearing ◽  
Femoral Fractures ◽  
Early Time ◽  
Functional Results ◽  
Full Weight Bearing ◽  
Pertrochanteric Fractures ◽  
Results Of Treatment ◽  
Bone Fragments ◽  
One Year

Abstract. Introduction The problem of complications after surgical treatment of pertrochanteric fractures in elderly patients is relevant and far from a solution. Materials and methods The retrospective study was based on the analysis of the results of treatment of 129 patients with pertrochanteric femoral fractures (average age 76 years). All fractures in the early time from trauma were fixed with two types of cephalomedullary nails, either dynamic or static. All patients could not limit the load on the operated limb after surgery because of different reasons. Results The results of treatment were evaluated in 109 patients after one year. In dynamic cephalomedullary fixator group (59 patients), there were 7 orthopedic complications with a functional Harris scale result of 68 points (range, 26 to 94 points). In static cephalomedullary fixator group (50 patients), there were 14 orthopedic complications with a functional Harris score of 56.5 points (range, 15 to 92 points). Discussion Higher results of treatment in the group of dynamic fixator in the condition of full-weight bearing on the operated limb may be associated with the possibility of dynamization of the part of fixator in response to bone resorption in the contact area of bone fragments. The use of dynamic cephalomedullary fixators instead of static ones for treatment of pertrochanteric femoral fractures in elderly patients exercising full weight-bearing leads to a decrease in orthopedic complications (from 28 to 11.9 %) and improves the functional results of treatment.

Sign in / Sign up

Export Citation Format

Share Document