title: Conjoined bicondylar coronal plane fracture of the distal femur associated with incarcerated patella.
abstract: Conjoint bicondylar coronal plane fracture is a rare orthopaedic injury, associated with high-velocity trauma. The proposed mechanism is axially directed shear forces in a flexed knee. To the best of our literature search, only 2 cases of conjoint bicondylar coronal fracture have been published in English literature-1 each in adult and paediatric age group. Conjoint bicondylar coronal plane fracture with incarcerated patella has not yet been reported and hence this is the first report of its kind. We report on the clinical presentation, management and outcome of such a complex injury, along with a comprehensive, up-to-date literature review. Prompt open reduction and internal fixation coupled with early knee mobilisation is the key to achieve good functional outcome.
authors.affiliation: Department of Orthopaedics, PGIMER, Chandigarh, Chandigarh, India.
authors.forename: Rama
authors.identifier: http://orcid.org/0000-0002-2134-8802
authors.initials: R
authors.lastname: Kishan
authors.affiliation: PGIMER, Chandigarh, Chandigarh, India.
authors.forename: Balaji
authors.initials: B
authors.lastname: Saibaba
authors.affiliation: PGIMER, Chandigarh, Chandigarh, India.
authors.forename: Vishal
authors.initials: V
authors.lastname: Kumar
authors.affiliation: Department of Orthopaedics, PGIMER, Chandigarh, Chandigarh, India.
authors.forename: Sameer
authors.initials: S
authors.lastname: Aggarwal
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D005360:Fibula / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000379:methods; D050723:Fractures, Bone / Q000000981:diagnostic imaging* / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008297:Male; D010329:Patella / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery