Femoral-sided fracture-dislocation of the knee.
OBJECTIVE
To document a previously undescribed fracture-dislocation of the knee that involves a femoral condyle and associated ligaments yet spares the tibial joint surface.


METHODS
Retrospective.


METHODS
University.


METHODS
Four cases of fracture-dislocation of the knee that involve ligamentous injury and fracture of the femoral condyle(s).


RESULTS
At a minimum two-year follow-up (average 28.8 months, range 26 to 37 months), overall functional outcome is only fair to good in this injury pattern. The Lysholm knee rating averaged 60 (range 39 to 74) and KT-1000 I-N testing averaged three millimeters at thirty pounds.


CONCLUSIONS
Despite treatment of this fracture-dislocation with internal fixation of the femoral condyle(s) and repair of the ligament(s), functional deficits occur in this severe knee injury patterns.
Schenck
R C
RC
Department of Orthopaedics, University of Texas Health Science Center, San Antonio 78284-7774, USA.
McGanity
P L
PL
Heckman
J D
JD
D000328:Adult; D001182:Arthroscopy; D001858:Bone Nails; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005360:Fibula / Q000293:injuries; D005593:Fracture Fixation, Internal / Q000379:methods; D017102:Fracture Healing; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000601:surgery*; D011379:Prognosis; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies