title: Intercondylar fibrotic lesion after retrograde intramedullary nailing of a femoral shaft fracture: a case report and review of the literature.
abstract: Retrograde intramedullary nailing is a largely successful technique for the treatment of femoral shaft fractures, although reports of knee pain after this procedure are not uncommon. Here we describe the case of a patient who developed a polyp-like fibrotic lesion of the intercondylar notch nearly 2 years after retrograde intramedullary nailing of a femoral shaft fracture as discovered by arthroscopic evaluation. This lesion caused pain and compromised our patient's function; however, both of these measures were subjectively improved after the debridement of the lesion. This case emphasizes the necessity of long-term follow-up and further investigation into the cause and significance of postoperative knee pain in hopes of continuing to improve patient outcomes.
authors.affiliation: Department of Anesthesiology, University of Ottawa, Ottawa, Ontario, Canada.
authors.forename: Rya
authors.initials: R
authors.lastname: Boscariol
authors.affiliation: Division of Orthopaedic Surgery, University of Ottawa, Ottawa, Ontario, Canada.
authors.forename: Jacques A
authors.initials: JA
authors.lastname: Brunet
authors.affiliation: Division of Orthopaedic Surgery, University of Ottawa, Ottawa, Ontario, Canada.
authors.forename: Geoffrey F
authors.initials: GF
authors.lastname: Dervin
mesh_terms: D000328:Adult; D018771:Arthralgia / Q000209:etiology / Q000601:surgery; D001182:Arthroscopy; D003646:Debridement; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005355:Fibrosis; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects*; D006801:Humans; D007719:Knee Joint / Q000473:pathology* / Q000601:surgery*; D008297:Male; D011859:Radiography