Abstract
PURPOSE: To evaluate the results of the the condylar fracture of the femur treated by open
reduction and cancellous screw fixation.
Meterials and Methods From April, 1994 to October, 1998, 9 cases of the condylar fracture
of the femur were open reduced and internally fixed with cancellous screw.
According to AO classification, B2 type, B3 type and C2 type were all three cases each. All
intraarticular fragment of the 9 cases were fixed with cancellous screws fixation after open
reduction. Additionally 2 cases were fixed with dynamic condylar screw and 1 case was fixed
with supracondylar nail. Authors followed up from shortest one year one month to longist three
year four month(average 2 years) and evaluated them by using the method of Schatzker and
Lamberts.
RESULTS: Seven of 9 cases had reduced anatomically, and remained 2 case which were
delayed to operation cannot reduced anatomically. In all case stable fixation of the intraarticular
fragment was obtained by cancellous screw fixation without perioperative complication.
Schatzker and Lamberts assesment shows excellent in four, good in one, fair in three and
failure in one case.
CONCLUSTION: In case of the condylar fracture of the femur, early and relatively simple screw
fixation can obtain anotomical reduction and prevent complication caused by incongruent joint
surface.