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Lateral femoral condyle osteochondral fracture caused by a patella luxation: advantages and disadvantages of PLA fixation
Authors:S. Koëter  C. J. M. van Loon  J. L. C. van Susante
Affiliation:1. Department of Orthopaedic Surgery, Rijnstate Hospital Arnhem, Arnhem, The Netherlands
2. Department of Orthopaedic Surgery, St. Maartenskliniek, PO box 9011, 6500 GM, Nijmegen, The Netherlands
Abstract:A lateral patella luxation is occasionally complicated by an (osteo)chondral fracture. These fractures are usually located at the inferomedial part of the patella. In this case report we describe an osteochondral fracture of the lateral femoral condyle after a dislocation of the patella. The latter is a more severe injury because it involves an important weight bearing part of the knee joint. Refixation of the osteochondral fracture should be pursued. Various surgical techniques using nonresorbable materials have been described. We describe the advantages and disadvantages of refixation with biodegradable pin fixation for an osteochondral fracture caused by a patellaluxation.
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