Osteochondral Fracture Lateral Femoral Condyle Treated with ORIF Using Z-Plasty: A Modification of Coonse and Adams Approach
Osteochondral fractures of lateral femoral condyle are common in adolescents and young adults. They are usually caused by direct trauma or twisting injuries of the knee. We present a case of large osteochondral fracture of lateral femoral condyle involving the articular surface in a fifteen-year-old...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2011/957196 |
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| author | Sanjay Agarwala Ganesh S. Mohrir Brijbhushan S. Mahajan |
| author_facet | Sanjay Agarwala Ganesh S. Mohrir Brijbhushan S. Mahajan |
| author_sort | Sanjay Agarwala |
| collection | DOAJ |
| description | Osteochondral fractures of lateral femoral condyle are common in adolescents and young adults. They are usually caused by direct trauma or twisting injuries of the knee. We present a case of large osteochondral fracture of lateral femoral condyle involving the articular surface in a fifteen-year-old male with a positive history of significant weight gain of 5 kilograms in last six months. Blood investigations reported low vitamin D and testosterone levels with elevated alkaline phosphatase. Adequate exposure was achieved by doing Z-plasty of quadriceps apparatus. The fracture was treated with open reduction and internal fixation using Herbert's screws. Medical management in the form of vitamin D and calcium along with testosterone was given. After the surgery, full weight-bearing was allowed at three months. At one year followup, patient has good quadriceps function without any weakness of the muscle. |
| format | Article |
| id | doaj-art-0d26ecb4a0cd468b8b18844f3ca97b5b |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-0d26ecb4a0cd468b8b18844f3ca97b5b2025-08-20T03:54:15ZengWileyCase Reports in Orthopedics2090-67492090-67572011-01-01201110.1155/2011/957196957196Osteochondral Fracture Lateral Femoral Condyle Treated with ORIF Using Z-Plasty: A Modification of Coonse and Adams ApproachSanjay Agarwala0Ganesh S. Mohrir1Brijbhushan S. Mahajan2Department of Orthopaedics, P. D. Hinduja National Hospital and Medical Research Centre, Mahim, Mumbai 400016, IndiaDepartment of Orthopaedics, P. D. Hinduja National Hospital and Medical Research Centre, Mahim, Mumbai 400016, IndiaDepartment of Orthopaedics, P. D. Hinduja National Hospital and Medical Research Centre, Mahim, Mumbai 400016, IndiaOsteochondral fractures of lateral femoral condyle are common in adolescents and young adults. They are usually caused by direct trauma or twisting injuries of the knee. We present a case of large osteochondral fracture of lateral femoral condyle involving the articular surface in a fifteen-year-old male with a positive history of significant weight gain of 5 kilograms in last six months. Blood investigations reported low vitamin D and testosterone levels with elevated alkaline phosphatase. Adequate exposure was achieved by doing Z-plasty of quadriceps apparatus. The fracture was treated with open reduction and internal fixation using Herbert's screws. Medical management in the form of vitamin D and calcium along with testosterone was given. After the surgery, full weight-bearing was allowed at three months. At one year followup, patient has good quadriceps function without any weakness of the muscle.http://dx.doi.org/10.1155/2011/957196 |
| spellingShingle | Sanjay Agarwala Ganesh S. Mohrir Brijbhushan S. Mahajan Osteochondral Fracture Lateral Femoral Condyle Treated with ORIF Using Z-Plasty: A Modification of Coonse and Adams Approach Case Reports in Orthopedics |
| title | Osteochondral Fracture Lateral Femoral Condyle Treated with ORIF Using Z-Plasty: A Modification of Coonse and Adams Approach |
| title_full | Osteochondral Fracture Lateral Femoral Condyle Treated with ORIF Using Z-Plasty: A Modification of Coonse and Adams Approach |
| title_fullStr | Osteochondral Fracture Lateral Femoral Condyle Treated with ORIF Using Z-Plasty: A Modification of Coonse and Adams Approach |
| title_full_unstemmed | Osteochondral Fracture Lateral Femoral Condyle Treated with ORIF Using Z-Plasty: A Modification of Coonse and Adams Approach |
| title_short | Osteochondral Fracture Lateral Femoral Condyle Treated with ORIF Using Z-Plasty: A Modification of Coonse and Adams Approach |
| title_sort | osteochondral fracture lateral femoral condyle treated with orif using z plasty a modification of coonse and adams approach |
| url | http://dx.doi.org/10.1155/2011/957196 |
| work_keys_str_mv | AT sanjayagarwala osteochondralfracturelateralfemoralcondyletreatedwithorifusingzplastyamodificationofcoonseandadamsapproach AT ganeshsmohrir osteochondralfracturelateralfemoralcondyletreatedwithorifusingzplastyamodificationofcoonseandadamsapproach AT brijbhushansmahajan osteochondralfracturelateralfemoralcondyletreatedwithorifusingzplastyamodificationofcoonseandadamsapproach |