Journal of Emergency Practice and Trauma

Open vertical sagittal fracture patella with fracture lateral condyle femur: approach to a rare injury

Document Type : Case Report

Authors

Mohit Kumar Arora
Ela Madaan

Department of Orthopedics, UCMS and GTB Hospital, Delhi University, India

https://doi.org/10.15171/jept.2017.01
Abstract
Patellar fracture is a relatively uncommon fracture especially the vertical sagittal type. In cases of high energy trauma injury, it is usually associated with fracture of ipsilateral distal femur or proximal tibia. However, the combination of vertical sagittal fracture patella and ipsilateral fracture lateral condyle is very rare. This necessitates judicious diagnosis and appropriate management to ensure optimal functional outcome. Open reduction and internal fixation is the treatment of choice in managing these types of injuries. This should be followed by gradual mobilization of the affected knee joint. Weight bearing can be started once the fracture starts showing signs of union on X-rays. Literature search shows only one case report describing this pattern. The aim of this case report is to highlight the rarity of this injury, to understand the injury mechanism and surgical approach used for these injuries. The knowledge of this combination will help us manage these injuries so that good functional outcome is achieved

Keywords

Sagittal
Patella
Ipsilateral
Femoral condyle
Subjects
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Journal of Emergency Practice and Trauma
Volume 4, Issue 1
January 2018
Pages 48-50

  • Receive Date 12 November 2016
  • Revise Date 19 January 2017
  • Accept Date 19 January 2017

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