Treatment of Medial Femoral Condyle Fracture in Adult with Lag Screws

Document Type : Original Article

Authors

1 Department of Orthopedic Surgery, Port-Said Ataa Hospital, Ministry of Health, Port-Said, Egypt

2 Department of Orthopedic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt

Abstract

Background: Numerous sites can experience femur fractures. If the fractures are ignored, they might not heal properly, which would be bad for the patient. A medial condyle fracture is an example of these fractures. A fracture of the medial condyle of the femur [AO classification 33-B2] is uncommon.
Aim of the work: The objective of this study is to evaluate the clinical and radiological outcomes of surgically treating a medial femoral condyle fractured using lag screws.
Patients and Methods: Ten patients with medial femoral condyle fracture took part in the current investigation, which was planned as an interventional study. Under spinal anesthesia, all patients underwent open reduction and internal fixation [ORIF]. After surgery, clinical and radiological follow-up for at least six months was done.
Results: The most frequent type of injury was falling during walking [6 patients]. Half of the patients had excellent results (5 patients). Two patients had good outcomes while three patients had fair results. Excellent outcome was significantly associated with lack of associated injuries [0.033] and male gender [P 0.036]. Complications occurred in five patients. The occurrence of complications was significantly associated with left-sided injuries and lack of associated injuries [0.038 for each].
Conclusion: This study suggested that the lag screws may provide a good management method in treating medial femoral condyle fractures. This provides an adequate stability and earlier restoring of knee function.

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