Diagnosis

Partial articular fracture, lateral condyle, sagittal 

print

Partial articular fractures of the lateral condyle in the sagittal plane are not common. They may be associated with ligamentous injuries to the knee. They are challenging to fix in osteoporotic bone.

These fractures result from valgus stress, of medium to low energy, often combined with a rotational component.

Options
1. Simple, through the notch 
2. Simple, through the condylar load-bearing surface 
3. Sagittal fragmentary 

1. Simple, through the notch 

Simple, through the notch

Simple, through the notch

X-ray taken from Orozco R et al, (1998) Atlas of Internal Fixation. Used with kind permission.

2. Simple, through the condylar load-bearing surface 

Simple, through the condylar load-bearing surface

Simple, through the condylar load-bearing surface

The following arthroscopic view shows a typical articular fracture through the load bearing surface. The lateral meniscus is seen at the bottom. Note the severe cartilage damage, which will finally define the outcome.

X-ray taken from Orozco R et al, (1998) Atlas of Internal Fixation. Used with kind permission.

3. Sagittal fragmentary 

Sagittal fragmentary

Sagittal fragmentary

X-ray taken from Orozco R et al, (1998) Atlas of Internal Fixation. Used with kind permission.