J Korean Fract Soc.  2009 Oct;22(4):246-251. 10.12671/jkfs.2009.22.4.246.

The Surgical Treatment of Distal Femur Medial Condyle Fracture Using Lateral Anatomical Plate of Opposite Side through Medial Approach

• Ha SS
• Sim JC
• Hong KD
• Kim JY
• Park KH
• Choi YH

• KMID: 1469990
• DOI: http://doi.org/10.12671/jkfs.2009.22.4.246

Abstract

PURPOSE
To evaluate clinical and radiological results of surgical treatment of distal femur medial condyle fracture using lateral anatomical plate of opposite side through medial approach. MATERIALS AND METHODS: This study reviewed the results of 9 cases of distal femur medial condyle fracture treated with lateral anatomical plate of opposite side through medial approach from December 2005 to June 2007, after a follow up of more than 12 months. There were 2 males and 7 females with a mean age of 63.1 (57~72) years. The clinical results were evaluated using the Schatzker's criteria, and the radiographic results were evaluated using the bone union time. RESULTS: Using the Schatzker's criteria, 7 cases of the 9 patients (78%) showed exellent results. The mean time for bone union was 13.4 (11~15) weeks. There were 3 cases of pain on full weight bearing same as previous operative state by degenerative osteoarthritis. There weren't complications as joint stiffness, infection, varus & rotational deformity, malunion, nonunion, and metal failure. CONCLUSION: Plate fixation using medial approach provides the proper anatomical reduction and stronger fixation, and outcome good results.

Keyword

Femur; Distal femur medial condyle fracture; Lateral anatomical plate of opposite side; Medial approach

MeSH Terms

Congenital Abnormalities
Female
Femur
Follow-Up Studies
Humans
Joints
Male
Osteoarthritis
Weight-Bearing

Figure

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  Fig. 1 (A) Preoperative radiographs show posterior displacement and rotational deformity of medial condyle of 69-year-old woman with right femur medial condyle fracture after traffic accident. (B) Immediate postoperative radiographs show the plate fixation using lateral anatomical plate of opposite side through medial approach. (C) Postoperative 27 months radiographs show complete bone union, good by Schaztker's criteria, and 5~130° knee ROM.

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  Fig. 2 (A) Preoperative radiographs show posterior displacement and valgus deformity of medial condyle of 70-year-old woman with right femur medial condyle fracture after slip down. (B) Immediate postoperative radiographs show the plate fixation using lateral anatomical plate of opposite side through medial approach. (C) Postoperative 26 months radiographs show complete bone union, excellent by Schaztker's criteria, and 0~125° knee ROM.

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