Ahmad M. Wagih, M.D., M.R.C.S., F.E.O.B. Arthroscopy Techniques

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Presentation transcript:

Arthroscopic Management of a Posterior Femoral Condyle (Hoffa) Fracture: Surgical Technique Ahmad M. Wagih, M.D., M.R.C.S., F.E.O.B. Arthroscopy Techniques Volume 4, Issue 4, Pages e299-e303 (August 2015) DOI: 10.1016/j.eats.2015.03.005 Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 1 Anteroposterior and lateral radiographic views of left knee. Arthroscopy Techniques 2015 4, e299-e303DOI: (10.1016/j.eats.2015.03.005) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 2 Computed tomography scans in sagittal and axial planes of left knee. Arthroscopy Techniques 2015 4, e299-e303DOI: (10.1016/j.eats.2015.03.005) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 3 Views from anterolateral portal. (A) Exposure of the fracture edges shows the fractured posterior lateral femoral condyle. (B) Reduction of the fracture with the aid of a curved artery forceps from the anteromedial portal. Arthroscopy Techniques 2015 4, e299-e303DOI: (10.1016/j.eats.2015.03.005) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 4 (A) The condyle is reduced and temporarily stabilized with 2 percutaneous guidewires, inserted from the most lateral and posterior part of the fragment, just above the meniscus. (B) The guidewires are drilled after measurement of the depth. Arthroscopy Techniques 2015 4, e299-e303DOI: (10.1016/j.eats.2015.03.005) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 5 (A) The fracture is fixed using two 6.5-mm partially threaded cancellous lag screws. (B) The screw heads through the articular cartilage are countersunk. Arthroscopy Techniques 2015 4, e299-e303DOI: (10.1016/j.eats.2015.03.005) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 6 Postoperative anteroposterior and lateral radiographic views of left knee. Arthroscopy Techniques 2015 4, e299-e303DOI: (10.1016/j.eats.2015.03.005) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 7 Postoperative range of motion after 6 weeks. Arthroscopy Techniques 2015 4, e299-e303DOI: (10.1016/j.eats.2015.03.005) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions