J Korean Fract Soc.  2000 Oct;13(4):855-860. 10.12671/jksf.2000.13.4.855.

Treatment of Coronal Split Fracture of the Femoral Condyle

• In Y
• Kim SK
• Bark WJ
• Park JB
• Chang G
• Chang H

• KMID: 2100151
• DOI: http://doi.org/10.12671/jksf.2000.13.4.855

Abstract

PURPOSE: To evaluate the results of treatment in 6 cases of coronal split fractures of the femoral condyle
MATERIALS AND METHODS
Six cases of coronal split fractures of the femoral condyle were treated and followed up 16 to 36 months. Five cases were treated operatively. We used anteromedial approach for 3 cases, posteromedial approach for 1 case and posterolateral approach for other 1 case. Non-displaced case was treated conservatively with cast. We compared the results of each case using Letenneur assessment system.
RESULTS
All 3 cases approached anteromedially and the case approached posterolaterally showed good results. But the case approached posteromedially showed fair result with mild limitation of motion and pain. Non-displaced case treated with cast resulted in poor result with nonunion.
CONCLUSION
We propose operative treatment for coronal split fracture of the femoral condyle even though there is no displacement. Anteromedial approach and headless screw fixation could be the best method for reduction and fixation of fracture.

Keyword

Femoral condyle; Coronal split fracture; Anteromedial approach