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Agarwala S, Mohrir GS, Mahajan BS. Osteochondral Fracture Lateral Femoral Condyle Treated with ORIF Using Z-Plasty: A Modification of Coonse and Adams Approach. Case Rep Orthop. 2011;2011:957196doi: 10.1155/2011/957196.
Agarwala, S., Mohrir, G. S., & Mahajan, B. S. (2011). Osteochondral Fracture Lateral Femoral Condyle Treated with ORIF Using Z-Plasty: A Modification of Coonse and Adams Approach. Case reports in orthopedics, 2011957196. https://doi.org/10.1155/2011/957196
Agarwala, Sanjay, et al. "Osteochondral Fracture Lateral Femoral Condyle Treated with ORIF Using Z-Plasty: A Modification of Coonse and Adams Approach." Case reports in orthopedics vol. 2011 (2011): 957196. doi: https://doi.org/10.1155/2011/957196
Agarwala S, Mohrir GS, Mahajan BS. Osteochondral Fracture Lateral Femoral Condyle Treated with ORIF Using Z-Plasty: A Modification of Coonse and Adams Approach. Case Rep Orthop. 2011;2011:957196. doi: 10.1155/2011/957196. Epub 2011 Oct 19. PMID: 23259106; PMCID: PMC3505926.
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Case Rep Orthop. 2011;2011:957196. doi: 10.1155/2011/957196. Epub 2011 Oct 19.

Osteochondral Fracture Lateral Femoral Condyle Treated with ORIF Using Z-Plasty: A Modification of Coonse and Adams Approach.

Case reports in orthopedics

Sanjay Agarwala, Ganesh S Mohrir, Brijbhushan S Mahajan

Affiliations

  1. Department of Orthopaedics, P. D. Hinduja National Hospital and Medical Research Centre, Mahim, Mumbai 400016, India.

PMID: 23259106 PMCID: PMC3505926 DOI: 10.1155/2011/957196

Abstract

Osteochondral fractures of lateral femoral condyle are common in adolescents and young adults. They are usually caused by direct trauma or twisting injuries of the knee. We present a case of large osteochondral fracture of lateral femoral condyle involving the articular surface in a fifteen-year-old male with a positive history of significant weight gain of 5 kilograms in last six months. Blood investigations reported low vitamin D and testosterone levels with elevated alkaline phosphatase. Adequate exposure was achieved by doing Z-plasty of quadriceps apparatus. The fracture was treated with open reduction and internal fixation using Herbert's screws. Medical management in the form of vitamin D and calcium along with testosterone was given. After the surgery, full weight-bearing was allowed at three months. At one year followup, patient has good quadriceps function without any weakness of the muscle.

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