Arthroscopically-assisted reduction and fixation of an old osteochondral fracture of the lateral femoral condyle

Abstract

SummaryBackgroundOsteochondral fracture (OCF) of the lateral femoral condyle has a low incidence and old OCF is even more rarely seen; it is difficult to differentiate from late osteochondritis dissecans (OCD).Case ReportIn this report, we present the case of a 20-year-old male patient with an old OCF of the lateral femoral condyle. The possible etiology of OCF is discussed, along with its clinical manifestation, diagnosis, and treatment. He underwent arthroscopically-assisted reduction and fixation with cannulated screws. Four months after the surgery, arthroscopy showed good osteochondral healing, and screws were removed. He had achieved good functional recovery by the follow-up visit.ConclusionsOld OCF should be distinguished from OCD in clinical practice, and osteochondral bodies should be preserved as much as possible. Osteochondral reduction and fixation under arthroscopy was minimal and the clinical effect was good.

Fixation of the neglected subcutaneous osteochondral fragment of large medial femoral condyle defect in adult male: A case report

“…However, one of these studies was reported on the lateral femoral condyle and the other on the patella, which is different from our case. One of these studies is about arthroscopy-assisted osteochondral fracture fixation in a male patient aged 20 who had pain in the left knee for six months without history of trauma 10 , whereas the other study is about fixation of a patellar osteochondral fracture at week 8 after trauma in a female patient aged 23 11 . This indicates that osteochondral fracture fixation, even if it is delayed, leads to successful clinical outcomes.…”

Pediatric Knee Injury: A Unique Case of Intra-articular Osteochondral Fracture Following Penetrating Trauma

“…In this study, we present a rare case of a penetrating knee injury in a pediatric patient involving an osteochondral fragment from the lateral femoral condyle. Osteochondral fractures of the lateral condyle of the femur are rare but can frequently cause significant knee joint pain and joint degeneration [ 3 ].…”

Treatment of Osteochondral Fracture of the Lateral Femoral Condyle with TWINFIX Ti Suture Anchor “X”‐Shaped Internal Fixation under Arthroscopy: A Surgical Technique and Three Cases Report

“…Osteochondral fracture of the lateral femoral condyle is a rare injury of the knee joint, which mostly occurs in adolescence. In adolescence, the cartilage‐bone interface is the weakest transitional area in the knee joint, and there is no obvious boundary between calcified and uncalcified cartilage.…”