title: Osteochondral Fracture Lateral Femoral Condyle Treated with ORIF Using Z-Plasty: A Modification of Coonse and Adams Approach.
abstract: Osteochondral fractures of lateral femoral condyle are common in adolescents and young adults. They are usually caused by direct trauma or twisting injuries of the knee. We present a case of large osteochondral fracture of lateral femoral condyle involving the articular surface in a fifteen-year-old male with a positive history of significant weight gain of 5 kilograms in last six months. Blood investigations reported low vitamin D and testosterone levels with elevated alkaline phosphatase. Adequate exposure was achieved by doing Z-plasty of quadriceps apparatus. The fracture was treated with open reduction and internal fixation using Herbert's screws. Medical management in the form of vitamin D and calcium along with testosterone was given. After the surgery, full weight-bearing was allowed at three months. At one year followup, patient has good quadriceps function without any weakness of the muscle.
authors.affiliation: Department of Orthopaedics, P. D. Hinduja National Hospital and Medical Research Centre, Mahim, Mumbai 400016, India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Agarwala
authors.forename: Ganesh S
authors.initials: GS
authors.lastname: Mohrir
authors.forename: Brijbhushan S
authors.initials: BS
authors.lastname: Mahajan