Suture Bridge Fixation of a Femoral Condyle Traumatic Osteochondral Defect

Bowers, Andrea L.; Huffman, G. Russell

doi:10.1007/s11999-008-0357-6

Cited by 30 publications

(29 citation statements)

References 31 publications

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“…The technique of suture bridge fixation, which was initially described in rotator cuff injuries has been expanded to other orthopedic injuries. [16][17][18] Zhang et al used two suture anchors to fix the avulsed PCL fragment 11 but the typical suture bridge technique has been utilized by Lee et al using a posteromedial approach and four suture anchors to achieve compression at the fracture site. 10 However, Lee et al have discussed only two cases with a follow-up of 6 months.…”

Section: Discussionmentioning

confidence: 99%

Management of comminuted tibial end bony avulsion of posterior cruciate ligament by open posterior approach using suture bridge technique: A case series

Pandey

Mathai

Varshini

et al. 2017

Journal of Clinical Orthopaedics and Trauma

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Section: Discussionmentioning

confidence: 99%

Management of comminuted tibial end bony avulsion of posterior cruciate ligament by open posterior approach using suture bridge technique: A case series

Pandey

Mathai

Varshini

et al. 2017

Journal of Clinical Orthopaedics and Trauma

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“…Recent literature has suggested using fibrin glue and even sutures for fixation of such fractures8,9). However the occurrence of such fractures in the pediatric age group is relatively rare.…”

Section: Discussionmentioning

confidence: 99%

Implantless Fixation of a Large Osteocartilaginous Fracture of the Lateral Femoral Condyle in a Child

Maheshwari¹,

Mhaskar²,

Mhaskar³

2017

Knee Surg Relat Res

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We describe for the first time a case of lateral femoral condyle fracture following a fall in a 13-year-old child that was reduced arthroscopically using a probe. It was definitively fixed with 0 vicryl sutures in a cruciate pattern after being initially stabilised with 1.5-mm Kirschner wires. Four beath pins carrying sutures were drilled at four opposing quadrants through the reduced fragment into the femur. The sutures were then tied on the lateral cortex of the femur. After fixation, the child was kept non-weight bearing for 6 weeks, partial weight bearing from 6 weeks to 12 weeks and then full weight bearing thereafter. Range of motion (ROM) exercises were commenced on the first postoperative day. At one-year follow-up, the ROM was from −5° to 130°, all symptoms disappeared, and complete resumption of all sports activities was allowed.

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“…Despite extensive research on how to fix large osteochondral fragments [10][11][12][13][14][15], very few studies (focusing on osteochondritis dissecans) have examined the histological appearance of osteochondral detachment [16][17][18]. A study analyzed the histological appearance of healed OCFs in humans [3], but no study has analyzed the histological appearance of late-diagnosed OCFs.…”

Section: Introductionmentioning

confidence: 99%

Late-diagnosed large osteochondral fracture of the lateral femoral condyle in an adolescent

Enea

Busilacchi

Cecconi

et al. 2013

Journal of Pediatric Orthopaedics B

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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.

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Suture Bridge Fixation of a Femoral Condyle Traumatic Osteochondral Defect

Abstract: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

Cited by 30 publications

References 31 publications

Management of comminuted tibial end bony avulsion of posterior cruciate ligament by open posterior approach using suture bridge technique: A case series

Management of comminuted tibial end bony avulsion of posterior cruciate ligament by open posterior approach using suture bridge technique: A case series

Implantless Fixation of a Large Osteocartilaginous Fracture of the Lateral Femoral Condyle in a Child

Late-diagnosed large osteochondral fracture of the lateral femoral condyle in an adolescent

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