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://dx.doi.org/10.7759/cureus.25127 | DOI Listing |
Cureus
October 2024
Department of Orthopaedics, Government Medical College, Haldwani, IND.
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 PDFArthroscopy
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.
View Article and Find Full Text PDFZhongguo 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.
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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