MANAGEMENT OF A CASE OF ISOLATED MEDIAL CONDYLE FEMUR FRACTURE IN A 65 YEARS OLD MALE WITH EXCELLENT FUNCTIONAL OUTCOME : CASE REPORT

2021 ◽  
pp. 77-78
Author(s):  
Saptarshi Mukherjee ◽  
Gourab Bose
Keyword(s):  
Range Of Motion ◽  
Femur Fracture ◽  
Femoral Condyle ◽  
Full Range ◽  
Lateral Condyle ◽  
Medial Condyle ◽  
Excellent Functional Outcome ◽  
Cancellous Screws ◽  
One Year

Isolated medial condyle femur fracture without fracture of the lateral condyle is relatively rare entity. Unlike lateral femoral condyle, there is no anatomically contoured plate available for the medial condyle xation. A 65 years old male presented to us with isolated medial condyle femur fracture. ORIF was done with cannulated cancellous screws and reconstruction plate. Post-operative early range of motion was started and the patient had full range of motion at the nal one-year follow-up.

Medial femoral condyle fracture during an Oxford unicompartmental knee replacement surgery: case report

2020 ◽  
pp. jisakos-2019-000311
Author(s):  
Rafael Calvo ◽  
David Figueroa ◽  
Zoy Anastasiadis ◽  
Gonzalo Espinoza ◽  
Daniel Sarango
Keyword(s):  
Range Of Motion ◽  
Rare Complication ◽  
Femoral Condyle ◽  
Intraoperative Complications ◽  
Weight Bearing ◽  
Full Range ◽  
Unicompartmental Knee Replacement ◽  
Medial Condyle ◽  
Unicompartmental Knee ◽  
Condyle Fracture

Oxford unicompartmental knee arthroplasty has been used as a good alternative for medial unicompartmental osteoarthritis due to its association with early rehabilitation and a low rate of intraoperative complications. This case describes a rare complication during the procedure of an intraoperative fracture of the medial condyle that was treated with osteosynthesis with 6.5 mm cannulated screws and a compression technique. The patient followed a non-weight-bearing protocol for 6 weeks and reached full range of motion at 3 months. Complete radiological fusion and good functional outcome were observed. Intraoperative fractures can benefit from stable osteosynthesis that allows free range of motion and does not jeopardise the final surgical result.

scholarly journals Osteochondroma of talus and coalition of talocrural and intercuneiform joints - surgical management

2021 ◽  
Vol 7 (2) ◽  
pp. 420
Author(s):  
Swapnil M. Keny ◽  
Kaustubh A. Sawant ◽  
Vijay Singh ◽  
Ayush Sharma
Keyword(s):  
Ct Scan ◽  
Range Of Motion ◽  
Histopathological Examination ◽  
Full Range ◽  
Tarsal Coalition ◽  
Talocrural Joint ◽  
Tarsal Bones ◽  
One Year ◽  
Rare Benign Tumour

<p class="abstract">Osteochondroma of talus is rare benign tumour. Tarsal coalition is a condition in which two or more tarsal bones are joined by non-osseous bridges of cartilage or fibrocartilage or by osseous bridges. Association of Talus osteochondroma with coalition of tarsal bones is extremely rare and has not been reported in the literature before. We are herewith reporting a case of osteochondroma of the talus with coalition of intercuneiform and talocrural joint in an 11-year-old male patient. Patient noticed swelling around ankle and pain on strenuous activities. CT scan confirmed the diagnosis. We did complete extraperiosteal excision of the osteochondroma and resection of tarsal coalition. Histopathological examination confirmed the diagnosis of osteochondroma. At one-year follow-up there is no recurrence of the tumour and patient had full range of motion. Complete extraperiosteal excision of the osteochondroma along with resection of tarsal coalition is important for complete eradication and preventing a recurrence.</p>

scholarly journals Case Report of a Medial Femoral Condyle Fracture in a Unicompartmental Oxford Knee Replacement Surgery

2019 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Femoral Condyle ◽  
Intraoperative Complications ◽  
Weight Bearing ◽  
Full Range ◽  
Postoperative Rehabilitation ◽  
Medial Condyle ◽  
Case Presentation ◽  
Replacement Surgery ◽  
Stable Osteosynthesis ◽  
Condyle Fracture

Introduction: The unicompartmental Oxford prosthesis has been used as a goodalternative for medial unicompartmental osteoarthritis because it is associated with earlyrehabilitation and a low rate of intraoperative complications. This case describes a rarecomplication during the procedure. Case Presentation: We present an intraoperative fracture of the medial condyle in a 70-year-old woman that was treated with 6.5 mm cannulated screws with a compressiontechnique. The patient remained in a non-weight bearing protocol for 6 weeks andreached a full range of mobility at 3 months. Complete radiological consolidation and agood functional outcome were observed. Conclusion: Intraoperative fractures benefit from a stable osteosynthesis that allows freerange of mobility and does not delay postoperative rehabilitation.

scholarly journals Cannulated Cancellous Screw Fixation for Capitellum Fractures in Adolescents

2011 ◽  
Vol 19 (3) ◽  
pp. 346-349 ◽  
Author(s):  
Kee Leong Ong ◽  
Arjandas Mahadev
Keyword(s):  
Performance Index ◽  
Kirschner Wire ◽  
Excellent Outcome ◽  
Excellent Functional Outcome ◽  
Cancellous Screws ◽  
The Mean ◽  
And Function ◽  
Anterior Direction

Purpose. To review the outcome of 9 adolescents treated with 2 to 3 cannulated cancellous screws for type-1 capitellum fractures. Methods. Records of 8 boys and one girl aged 12 to 14 (mean, 14) years with type-1 capitellum fractures were reviewed. The mechanism of injury was a fall on the flexed elbow. No patient had associated injuries or neurovascular compromise. In 2 patients, the fracture was minimally displaced and treated with a cast. The remaining 7 patients with displaced fractures underwent open reduction and internal fixation using 4.0-mm cannulated partially threaded cancellous screws inserted in a posterior-to-anterior direction. In one patient, a Kirschner wire was added to fix a small comminuted fragment. Elbow pain, range of motion, stability, and function were evaluated using the Mayo Elbow Performance Index. Results. The mean follow-up period was 7 (range, 2–18) months. The mean Mayo Elbow Performance Index score was 100, indicating excellent outcome. No patient developed avascular necrosis or heterotrophic ossification. All patients achieved anatomic bone union. All implants were removed after a mean of 4.7 (range, 2–7) months. Conclusion. The fixation of type-1 capitellum fractures with 2 to 3 cannulated cancellous screws inserted posteroanteriorly achieved excellent functional outcome.

scholarly journals A Novel All-Inside Arthroscopic Technique for Radial-Sided Triangular Fibrocartilage Complex Tears: A Case Report and Review of Literature

Hand ◽  
2017 ◽  
Vol 12 (5) ◽  
pp. NP166-NP169 ◽  
Author(s):  
Michael T. Edgerton ◽  
Robert C. Kollmorgen
Keyword(s):  
Case Report ◽  
Range Of Motion ◽  
Single Case ◽  
Excellent Result ◽  
Full Range ◽  
Triangular Fibrocartilage Complex ◽  
Wrist Arthroscopy ◽  
Single Case Report ◽  
Triangular Fibrocartilage

Background: Triangular fibrocartilage complex (TFCC) injuries are a known cause of ulnar-sided wrist pain. Wrist arthroscopy is the gold standard for diagnosis of these lesions and is becoming a more frequent method of treatment. Isolated radial-sided tears are uncommon and treatment of these lesions is controversial. There are few reports on repair techniques. Here we report on a novel arthroscopic, all-inside technique for traumatic radial-sided TFCC tears that resulted in full range of motion, significant improvement in pain, and ultimately return to sport. Methods: This is a single case report describing an all-inside, arthroscopic repair of a radial-sided TFCC tear. The techniques and postoperative protocol are discussed. Clinical outcomes were reported at final follow-up of 3.5 months. Results: At final follow-up, our patient had full wrist range of motion, 95% strength, occasional 1/10 pain, and returned to sport at her previous level of play. There were no complications. Conclusion: Although just a single case report, our patient had an excellent result based on modified Mayo wrist score. When comparing our result and the previous literature, this technique seems to be a valid method for addressing radial-sided TFCC tears.

scholarly journals Arthroscopic Management for the Unstable Inferior Leaf of the Lateral Meniscus Anterior Horn and Associated Cysts through a Direct Inframeniscal Portal: A Retrospective Study

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Dongyang Chen ◽  
Qiangqiang Li ◽  
Ye Sun ◽  
Jianghui Qin ◽  
Yao Yao ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Full Range ◽  
Lateral Meniscus ◽  
Clinical Results ◽  
Anterior Horn ◽  
Arthroscopic Management ◽  
The Mean ◽  
Magnetic Resonance Scanning ◽  
One Year

Introduction. To investigate the clinical results of arthroscopic management for the unstable inferior leaf of the lateral meniscus anterior horn and associated cysts through an inframeniscal portal. Methods. From March 2005 to October 2014, 64 patients with an unstable inferior leaf of the lateral meniscus anterior horn and associated cysts underwent arthroscopic management with an inframeniscal portal. The mean age of the patients was 36.9 years (range, 18 to 49 years). The mean follow-up period was 28 months (range, 24 to 44 months). Clinical results were assessed using physical examination, the Lysholm knee score, and postoperative magnetic resonance scanning. Results. The median Lysholm score improved significantly at 1 year after surgery and at final follow-up. Magnetic resonance scanning at least one year after the operation revealed no recurrent meniscal tears or cysts. No reoperations were required after an average follow-up of 28 months. All patients reported significant symptomatic relief after the operation. They had full range of motion at three months and returned to normal activities and sports one year after surgery. Conclusion. The direct inframeniscal portal can provide an effective approach to manage lesions in the anterior horn of the lateral meniscus with predictable clinical outcomes.

Proximal Fractures of the Fifth Metacarpal: A Retrospective Analysis of 25 Operated Cases

2000 ◽  
Vol 25 (3) ◽  
pp. 253-257 ◽  
Author(s):  
M. Y. PAPALOIZOS ◽  
PH. LE MOINE ◽  
V. PRUES-LATOUR ◽  
N. BORISCH ◽  
D. R. DELLA SANTA
Keyword(s):  
Range Of Motion ◽  
Grip Strength ◽  
Retrospective Analysis ◽  
Full Range ◽  
Degenerative Changes ◽  
Degenerative Arthritis ◽  
X Ray

The clinical and radiological outcomes of 25 surgically treated fractures of the proximal third of the fifth metacarpal were retrospectively analysed. Many different methods of osteosynthesis were used. At follow-up after a mean of 3.3 years, 15 of 25 patients had no pain. Most patients regained a nearly full range of motion in the adjacent joints and more than 90% of the contralateral grip strength. X-ray signs of degenerative arthritis in the metacarpohamate joint were observed in 10 of 25 patients. Pain was found to be directly correlated with the presence of degenerative changes.

Pronator Teres Branch Transfer to the Anterior Interosseous Nerve for Treating C8T1 Brachial Plexus Avulsion

Neurosurgery ◽  
2014 ◽  
Vol 75 (4) ◽  
pp. 375-379 ◽  
Author(s):  
Jianyun Yang ◽  
Xiaotian Jia ◽  
Cong Yu ◽  
YuDong Gu
Keyword(s):  
Range Of Motion ◽  
Lateral Condyle ◽  
Main Trunk ◽  
Medial Condyle ◽  
Pronator Teres ◽  
Finger Flexion ◽  
Active Range Of Motion ◽  
Anterior Interosseous Nerve ◽  
The Mean ◽  
Finger Flexor Muscles

Abstract BACKGROUND: The treatment of C8T1 avulsion is challenging for neurosurgeons. Various methods for the restoration of finger flexion are used. However, most of these methods have different disadvantages and cannot restore the full active range of motion of the fingers. OBJECTIVE: To determine the feasibility of the pronator teres branch transfer to the anterior interosseous nerve with anatomic study and to use this method in 1 case. METHODS: The upper limbs of 15 fresh cadavers were dissected to identify the main trunk of the median nerve, the pronator teres branch, and the anterior interosseous nerve. The mean number and length of the pronator teres branches were recorded. The anterior interosseous nerve was dissected atraumatically to the most proximal level where the fibers of the anterior interosseous nerve did not mingle with the fibers of the main trunk of the median, which was defined as the atraumatic level of the anterior interosseous nerve. A line joining the most protruding point of the medial condyle and lateral condyle of the humerus was used as a measurement landmark. Pronator teres branch transfer to the anterior interosseous nerve was performed in 1 patient with C8T1 avulsion. RESULTS: The mean number of the pronator teres branches was 2.37 ± 0.49. The mean length of the pronator teres branches was 9.64 ± 0.71 mm. The mean distance between the point where the pronator teres branches originated and the landmark line was 3.87 ± 0.34 mm. The mean distance between the atraumatic level of the anterior interosseous nerve and the landmark line was −5.46 ± 0.73 mm. Transfer of the pronator teres was used to innervate the anterior interosseous nerve in 1 patient with C8T1 avulsion. When assessed 14 months after the operation, a full active range of motion of the fingers had been restored, and the patient's finger flexor muscles had regained grade 4 power. CONCLUSION: The pronator teres can be transferred to the anterior interosseous nerve directly at the elbow level. This operation was performed successfully in 1 patient, who exhibited finger flexion recovery.

scholarly journals Primary intra-articular osteotomy for varus malunion of the medial condyle of the tibial plateau

2020 ◽  
Vol 6 (2) ◽  
pp. 360
Author(s):  
Jeremy Bliss ◽  
Dan Barnabas Inja ◽  
Manasseh Nithyananth ◽  
Vinoo Mathew Cherian
Keyword(s):  
Functional Outcome ◽  
Tibial Plateau ◽  
Statistical Significance ◽  
P Value ◽  
Medial Condyle ◽  
Medial Condyle Fracture ◽  
Excellent Functional Outcome ◽  
Male Patients ◽  
Condyle Fracture

<p class="abstract"><strong>Background:</strong> Reconstructive operative procedures for post-traumatic deformities of the tibial plateau have been described in literature, though rarely. We report short term follow-up of eleven such cases of primary intra-articular osteotomy.</p><p class="abstract"><strong>Methods:</strong> From 2005 through 2011, a primary intra-articular osteotomy for varus malunion of the medial condyle of the tibial plateau was performed in eleven consecutive cases. The patients were assessed clinically and radiologically at a minimum of 28 months post-operatively. The functional outcome was assessed using Rasmussen score.  Paired ‘t’ test was used to determine the statistical significance.<strong></strong></p><p class="abstract"><strong>Results:</strong> There were eleven male patients. Average follow up was 59 months (range 28 to 159). Articular congruity was restored to acceptable in all patients and varus malalignment was corrected from a mean of 1.5 degrees varus to 5.7 degrees of valgus (statistically significant, two-tailed P value of 0.0056) to an extent comparable to the normal side (mean 5.8 degrees). There were no infections. All patients had good to excellent functional outcome.</p><p class="abstract"><strong>Conclusions:</strong> A primary intra-articular osteotomy and osteosynthesis for malunited medial condyle fracture of the tibial plateau would help to restore mechanical alignment and improve functional outcome.</p>

Distal femoral morphological dysplasia is correlated with increased femoral torsion in patients with trochlear dysplasia and patellar instability

2020 ◽  
Vol 102-B (7) ◽  
pp. 868-873
Author(s):  
Guangmin Yang ◽  
Yike Dai ◽  
Conglei Dong ◽  
Huijun Kang ◽  
Jinghui Niu ◽  
...  
Keyword(s):  
Patellar Instability ◽  
Trochlear Dysplasia ◽  
Femoral Condyle ◽  
Pearson Correlation ◽  
Femoral Anteversion ◽  
Lateral Condyle ◽  
Anteversion Angle ◽  
Medial Condyle ◽  
Femoral Torsion ◽  
Condylar Morphology

Aims The purpose of this study was to explore the correlation between femoral torsion and morphology of the distal femoral condyle in patients with trochlear dysplasia and lateral patellar instability. Methods A total of 90 patients (64 female, 26 male; mean age 22.1 years (SD 7.2)) with lateral patellar dislocation and trochlear dysplasia who were awaiting surgical treatment between January 2015 and June 2019 were retrospectively analyzed. All patients underwent CT scans of the lower limb to assess the femoral torsion and morphology of the distal femur. The femoral torsion at various levels was assessed using the a) femoral anteversion angle (FAA), b) proximal and distal anteversion angle, c) angle of the proximal femoral axis-anatomical epicondylar axis (PFA-AEA), and d) angle of the AEA–posterior condylar line (AEA-PCL). Representative measurements of distal condylar length were taken and parameters using the ratios of the bianterior condyle, biposterior condyle, bicondyle, anterolateral condyle, and anteromedial condyle were calculated and correlated with reference to the AEA, using the Pearson Correlation coefficient. Results The femoral torsion had a strong correlation with distal condylar morphology. The FAA was significantly correlated with the ratio of the bianterior condyle (r = 0.355; p = 0.009), the AEA-PCL angle (r = 0.340; p = 0.001) and the ratio of the anterolateral condyle and lateral condyle (ALC-LC) (r = 0.309; p = 0.014). The PFA-AEA angle was also significantly correlated with the ratio of the bianterior condyle (r = 0.319; p = 0.008), the AEA-PCL angle (r = 0.231; p = 0.031), and the ratio of ALC-LC (r = 0.261; p = 0.034). In addition, the bianterior condyle ratio showed a significant correlation with the biposterior condyle ratio (r = -0.324; p = 0.027) and the AEA-PCL angle (r = 0.342; p = 0.021). Conclusion Increased femoral torsion correlated with a prominent anterolateral condyle and a shorter posterolateral condyle compared with the medial condyle. The deformities of the anterior and posterior condyles are combined deformities rather than being isolated and individual deformities in patients with trochlear dysplasia and patella instability. Cite this article: Bone Joint J 2020;102-B(7):868–873.

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