Supracondylar - Intercondylar Distal femoral fractures and coronal plane fractures: Association and eview of fixation methods
Journal Title: International Journal Of Research In Medicine - Year 2014, Vol 3, Issue 1
Abstract
BACKGROUND: An isolated coronal plane fracture of posterior aspect of distal femoral condoyle in an unusual injury. Coronal plane fractures of femoral condyle associated with supracondylar intercondylar fractures are not uncommon. The purpose of the study is to measure the incidence and review the fixation modalities of coronal plane fractures of femoral condyle. MATERIALS AND METHODS: 60 patients with supracondular intercondylar fractures prospectively evaluated clinically, radiologically and intraoperativelly. Confirmation of the diagnosis was made intraoperativly. Judgement sampling method was used. RESULTS: Cor onal plane facture was associated in thirty six patients (60%) of the 60 patients. Out of 36 patient in 26 (72.22%) patients coronal plane fracture was involving single condyle, 3 (8.33%) patients was having coronal plane fracture medial condyle and 23 (63.88%) was having coronal plane fracture lateral condyle. Rest of 10 (27.77%) was having both condyle fracture in coronal plane. 34 out of total 60 were open fractures (GA type II or more). But almost 67% of coronal plane fracture patients i.e 24 had open i njury in comparison to 42% i.e. 10 out of 24 simple intercondylar fractures. 27 out of these 36 patients were obviuos on plane xray to have coronal split but 9 could be identified intraoperatively. CONCLUSION: In this study incidence of coronal plane fract ure of femoral condyle was 60%. Coronal split is common association with supracodylar intercondylar fractures due to high energy trauma.
Authors and Affiliations
Sachinkumar Jain 1 * , Chetan Brahamne 2 , Nitin Kiradiya 2
Keywords
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