title: Arthroscopically-assisted reduction and fixation of an old osteochondral fracture of the lateral femoral condyle.
abstract: BACKGROUND
  Osteochondral fracture (OCF) of the lateral femoral condyle has a low incidence and old OCF is even more rarely seen; it is difficult to differentiate from late osteochondritis dissecans (OCD).
  
  
  METHODS
  In this report, we present the case of a 20-year-old male patient with an old OCF of the lateral femoral condyle. The possible etiology of OCF is discussed, along with its clinical manifestation, diagnosis, and treatment. He underwent arthroscopically-assisted reduction and fixation with cannulated screws. Four months after the surgery, arthroscopy showed good osteochondral healing, and screws were removed. He had achieved good functional recovery by the follow-up visit.
  
  
  CONCLUSIONS
  Old OCF should be distinguished from OCD in clinical practice, and osteochondral bodies should be preserved as much as possible. Osteochondral reduction and fixation under arthroscopy was minimal and the clinical effect was good.
authors.affiliation: Department of Orthopaedics and Traumatology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China.
authors.forename: Runguang
authors.initials: R
authors.lastname: Li
authors.forename: Gang
authors.initials: G
authors.lastname: Guo
authors.forename: Bin
authors.initials: B
authors.lastname: Chen
authors.forename: Lijun
authors.initials: L
authors.lastname: Zhu
authors.forename: Angru
authors.initials: A
authors.lastname: Lin
mesh_terms: D001182:Arthroscopy; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery*; D005592:Fracture Fixation; D006801:Humans; D008297:Male; D011300:Preoperative Care; D011859:Radiography; D055815:Young Adult