Knee Surg Relat Res.  2017 Mar;29(1):72-75. 10.5792/ksrr.15.071.

Implantless Fixation of a Large Osteocartilaginous Fracture of the Lateral Femoral Condyle in a Child

• Maheshwari J
• Mhaskar V
• Mhaskar PM

• KMID: 2371538
• DOI: http://doi.org/10.5792/ksrr.15.071

Abstract

We describe for the first time a case of lateral femoral condyle fracture following a fall in a 13-year-old child that was reduced arthroscopically using a probe. It was definitively fixed with 0 vicryl sutures in a cruciate pattern after being initially stabilised with 1.5-mm Kirschner wires. Four beath pins carrying sutures were drilled at four opposing quadrants through the reduced fragment into the femur. The sutures were then tied on the lateral cortex of the femur. After fixation, the child was kept non-weight bearing for 6 weeks, partial weight bearing from 6 weeks to 12 weeks and then full weight bearing thereafter. Range of motion (ROM) exercises were commenced on the first postoperative day. At one-year follow-up, the ROM was from −5° to 130°, all symptoms disappeared, and complete resumption of all sports activities was allowed.

Keyword

Knee; Femur; Fracture; Osteocartilaginous; Fixation; Arthroscopy

MeSH Terms

Adolescent
Arthroscopy
Bone Wires
Child*
Exercise
Femur
Follow-Up Studies
Humans
Knee
Polyglactin 910
Range of Motion, Articular
Sports
Sutures
Weight-Bearing
Polyglactin 910