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Late-diagnosed large osteochondral fracture of the lateral femoral condyle in an adolescent: a case report

Enea, Davide; Busilacchi, Alberto; Cecconi, Stefano; Gigante, Antonio

Journal of Pediatric Orthopaedics B:
doi: 10.1097/BPB.0b013e3283602650
Femur & Knee
Abstract

In this case report, we describe a large osteochondral fracture of the anterolateral femoral condyle in an adolescent athlete while dancing. At 3 months after the misdiagnosed injury, the condylar defect was covered by a layer of disorganized fibrous tissue rich in blood vessels. To achieve good repair, an accurate curettage of the fractured surfaces, a precise reduction, and a stable internal fixation of the fragments were performed. Two poly-L-lactic acid bioabsorbable screws were used to obtain appropriate compression. At the 2-year follow-up, the patient was asymptomatic and had resumed her previous dancing activity. An MRI scan showed no interruptions of the cartilage layer at the boundary with the healthy tissue, but cartilage thinning and extensive subchondral remodeling were detected. Level of evidence: IV.

Author Information

Department of Clinical and Experimental Sciences, Polytechnic University of Marche, Ancona, Italy

Correspondence to Stefano Cecconi, MD, Department of Clinical and Experimental Sciences, Polytechnic University of Marche, Via Tronto 10/A, 60020 Ancona, Italy Tel: +39 71 5963346; fax: +39 71 2206066; e-mail: stefano.cecconi@live.it

© 2013 by Lippincott Williams & Wilkins, Inc.