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

Sung-Sik Ha; Jae-Chun Sim; Ki-Do Hong; Jae-Young Kim; Kwang-Hee Park; Yoon-Ho Choi

doi:10.12671/jkfs.2009.22.4.246

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Ha, Sim, Hong, Kim, Park, and Choi: The Surgical Treatment of Distal Femur Medial Condyle Fracture Using Lateral Anatomical Plate of Opposite Side through Medial Approach

Original Article

Journal of the Korean Fracture Society 2009; 22(4): 246-251.

Published online: 30 October 2009

DOI: https://doi.org/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

Sung-Sik Ha, M.D., Jae-Chun Sim, M.D., Ki-Do Hong, M.D., Jae-Young Kim, M.D., Kwang-Hee Park, M.D., Yoon-Ho Choi, M.D.

Department of Orthopedic Surgery, Samyook Medical Center, Seoul, Korea.

Address reprint requests to: Jae-Chun Sim, M.D. Department of Orthopedic Surgery, Samyook Medical Center, 29-1, Hwigyoung-2-dong, Dongdaemoon-gu, Seoul 130-711, Korea. Tel: 82-2-2210-3581, Fax: 82-2-2217-1897, cyh143@freechal.com

Received 27 April 2009 Revised 17 July 2009 Accepted 6 October 2009

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Femur, Distal femur medial condyle fracture, Lateral anatomical plate of opposite side, Medial approach

Figures and Tables

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.

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.

Table 1

Schatzker's criteria

Table 2

Patients of distal femur medial condyle fracture using lateral anatomical plate of opposite side through medial approach

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