股骨外侧髁罕见骨折的边缘钢板固定术:病例报告

Hanrong Xu, Ding Xu, Yinjiang Lu, Jiong Lin
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引用次数: 0

摘要

由髌骨外侧脱位引起的股骨外侧髁骨软骨骨折鲜有报道。AO/OTA分类法并不适用于这种不常见的损伤。股骨外侧髁前软骨表面粉碎并伴有骨质嵌塞,这对精确的减小和修复具有挑战性,导致关节功能恢复的不确定性。这种罕见骨折的治疗方法并不常见。我们在此报告了一个独特的病例,该病例的外侧髁骨软骨骨折与髌骨脱位和髌股关节不稳定同时发生。通过自体骨移植、切开复位和使用边缘钢板进行内固定,取得了令人满意的疗效。
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Rim plate fixation for a rare fracture pattern of the lateral femoral condyle: A case report.

Osteochondral fractures of the lateral femoral condyle caused by lateral patella dislocation have been rarely reported. The AO/OTA Classification is not suitable for this uncommon injury. Comminution of the anterior cartilage surface of the lateral condyle with bone impaction is challenging to reduce and repair accurately, leading to uncertainty in joint function recovery. The treatment for this rare fracture is not commonly reported. We, herein, report a unique case where the lateral condyle osteochondral fracture occurred alongside patellar dislocation and instability of the patellofemoral joint. Autogenous bone grafting, open reduction, and internal fixation with a rim plate resulted in a satisfactory outcome.

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