Journal of Orthopaedic Reports (Jun 2024)
Surgical challenges and functional outcome in the management of osteocartilage fracture on lateral articular surface of distal femur: A case report
Abstract
Introduction: osteocartilage fractures in the distal articular surface of femoral condyle are uncommon occurrences. Achieving effective anatomical reduction and secure fixation for healing presents a considerable challenge, prompting the utilization of various techniques. The primary goals of fixation encompass restoring the alignment of the articular surface, promoting healing through compression, and establishing rotational stability. This case report underscores the intricate surgical hurdles and the resulting functional progress in addressing a significant osteocartilage fracture. Case report: A teenager of 16 years encountered injury to her left knee during dance routine.Subsequently, she noticed an unusual patellar position, which she managed to self-correct. Diagnostic evaluation revealed a lateral femoral osteocartilage fracture accompanied by medial patellofemoral ligament (MPFL) injury in her left knee. The fractured fragment was surgically fixed through a posterolateral approach using biodegradable K wires and a biodegradable screw for the fracture, along with MPFL repair. Gradual mobilization was initiated, and an MRI was performed on the fourth postoperative month to assess potential avascular necrosis (AVN) in the fractured fragment.She recovered complete mobility and was able to walk without experiencing discomfort or a noticeable limp. Conclusion: The effective management of osteocartilage fractures in articular surface requires a careful and meticulous approach that takes into account the specific characteristics of the fracture. Treatment options are aimed at achieving the primary objective of restoring congruity in the articular surface, promoting efficient healing, and safeguarding the integrity of cartilage tissue.
