Cleavage Intercondylar Fracture of the Femur: A Case Report.

Cureus

Orthopaedics and Traumatology, Monastir University School of Medicine, Fattouma Bourguiba Hospital, Monastir, TUN.

Published: May 2022

Distal femur fractures account for less than 1% of all fractures and about 3 to 6% of all femoral fractures. Several classifications have been described but some types of distal femur fractures escape them such as the cleavage intercondylar fracture of the femur. To our knowledge, there have been only four cases reported in the literature. The authors report a case of a 32-year-old woman who presented at the emergency department with a cleavage intercondylar fracture of the left femur. The patient was treated with a long leg cast for 6 weeks, followed by physiotherapy and full weight-bearing. After 4 months, the evolution was favorable: the patient was asymptomatic and regained full knee range of motion. After 10 years of follow-up, there was no clinical or radiological evidence of knee osteoarthritis.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9205391PMC
http://dx.doi.org/10.7759/cureus.25127DOI Listing

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Article Synopsis
  • Intraarticular knee fractures are significant and need proper treatment for better recovery outcomes, with cleavage fractures being a rare type that involves limited areas of the distal femur without additional complications.
  • The article presents two case studies: one of a young adult treated successfully without surgery and another adolescent who required minimal-invasive surgical intervention.
  • Both patients achieved excellent healing and returned to full function, with follow-up periods of nine and eleven months showing positive results.
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Cleavage Intercondylar Fracture of the Femur: A Case Report.

Cureus

May 2022

Orthopaedics and Traumatology, Monastir University School of Medicine, Fattouma Bourguiba Hospital, Monastir, TUN.

Distal femur fractures account for less than 1% of all fractures and about 3 to 6% of all femoral fractures. Several classifications have been described but some types of distal femur fractures escape them such as the cleavage intercondylar fracture of the femur. To our knowledge, there have been only four cases reported in the literature.

View Article and Find Full Text PDF

Meniscus Tear Management: Indications, Technique, and Outcomes.

Arthroscopy

September 2019

Memorial Orthopaedic Surgical Group, Long Beach, California, U.S.A.. Electronic address:

Meniscus tears are commonly encountered in the clinical and operative setting and vary in presentation, including bucket-handle, radial, and horizontal cleavage tears. Historically, tears were treated with benign neglect or partial meniscectomy. However, a great deal of subsequent research has highlighted the biomechanical consequences of tears and meniscectomy, including increased peak local contact forces, progressive postmeniscectomy arthritis, and subsequent arthroplasty.

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[Comparative study on repair of medium and large-sized osteochondral compound defects with mosaicplasty].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi

April 2007

Department of Joint Surgery, Affiliated Hospital of Qingdao University, Qingdao Shandong, 266003, P. R. China.

Objective: To investigate the effectiveness of mosaicplasty in repair of large-sized osteochondral compound defects and the integrity of transplanted tissue with recipient sites so as to lay a foundation for clinical application.

Methods: Twenty-four adult goats were divided into 3 groups randomly. The diameters of defect were 6 mm for the medium-sized defects and 9 mm for the large-sized defects, which were created by a trepan.

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The mechanism of injury and long-term effects in three cases suggest that a specific type of intercondylar injury of the femur, i.e., cleavage fracture, is caused by force transmitted through the patella.

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