Osteochondral fracture of lateral femoral condyle can result from support and other twisting injuries of the knee. Arthroscopy is a better diagnostic and therapeutic tool as standard radiographs can mislead regarding the size and location of the fragment. If fragment is large and displaced, arthrotomy may become necessary. We present a case of large osteochondral fracture of lateral femoral condyle involving the entire articular surface in a 12 year old male. This was treated with open reduction and internal fixation using biodegradable screws. MRI at six weeks after surgery showed satisfactory results. After the surgery full weight bearing was allowed at three months.

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