Femoral condyle osteochondral fracture treated with bone suture after acute patellar dislocation: a case report
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000500636 |
Resumo: | ABSTRACT Osteochondral fracture after acute patellar dislocation in teenagers is relatively common (up to 60% of cases of patellar dislocation), but poorly diagnosed. There are several treatments proposed for this type of injury, but none well defined in the literature.A male patient, 13 years old, with a diagnosis of osteochondral fracture of the lateral femoral condyle after acute dislocation of the right patella. He underwent surgical treatment of the chondral injury, which consisted of suturing of the chondral fragment to the cartilage defect and, in a second approach, reconstruction of the medial patellotibial ligament and medial patellofemoral ligament with autologous flexor graft. Currently, the patient has been followed up for 16 months postoperatively for the suture of the chondral fragment and for 8 months for the ligament reconstruction. He has been evaluated through functional scores and T2 weighted magnetic resonance imaging. Acute fixation through direct bone suturing of a purely chondral fragment can be considered in special situations. |
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Femoral condyle osteochondral fracture treated with bone suture after acute patellar dislocation: a case reportBone fracturesPatellar dislocationArticular ligamentsOsteochondritisABSTRACT Osteochondral fracture after acute patellar dislocation in teenagers is relatively common (up to 60% of cases of patellar dislocation), but poorly diagnosed. There are several treatments proposed for this type of injury, but none well defined in the literature.A male patient, 13 years old, with a diagnosis of osteochondral fracture of the lateral femoral condyle after acute dislocation of the right patella. He underwent surgical treatment of the chondral injury, which consisted of suturing of the chondral fragment to the cartilage defect and, in a second approach, reconstruction of the medial patellotibial ligament and medial patellofemoral ligament with autologous flexor graft. Currently, the patient has been followed up for 16 months postoperatively for the suture of the chondral fragment and for 8 months for the ligament reconstruction. He has been evaluated through functional scores and T2 weighted magnetic resonance imaging. Acute fixation through direct bone suturing of a purely chondral fragment can be considered in special situations.Sociedade Brasileira de Ortopedia e Traumatologia2018-10-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000500636Revista Brasileira de Ortopedia v.53 n.5 2018reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1016/j.rboe.2017.04.008info:eu-repo/semantics/openAccessCavalheiro,Camila MaftoumGobbi,Riccardo GomesHinckel,Betina BremerDemange,Marco KawamuraPécora,José RicardoCamanho,Gilberto Luiseng2018-10-16T00:00:00Zoai:scielo:S0102-36162018000500636Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2018-10-16T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Femoral condyle osteochondral fracture treated with bone suture after acute patellar dislocation: a case report |
title |
Femoral condyle osteochondral fracture treated with bone suture after acute patellar dislocation: a case report |
spellingShingle |
Femoral condyle osteochondral fracture treated with bone suture after acute patellar dislocation: a case report Cavalheiro,Camila Maftoum Bone fractures Patellar dislocation Articular ligaments Osteochondritis |
title_short |
Femoral condyle osteochondral fracture treated with bone suture after acute patellar dislocation: a case report |
title_full |
Femoral condyle osteochondral fracture treated with bone suture after acute patellar dislocation: a case report |
title_fullStr |
Femoral condyle osteochondral fracture treated with bone suture after acute patellar dislocation: a case report |
title_full_unstemmed |
Femoral condyle osteochondral fracture treated with bone suture after acute patellar dislocation: a case report |
title_sort |
Femoral condyle osteochondral fracture treated with bone suture after acute patellar dislocation: a case report |
author |
Cavalheiro,Camila Maftoum |
author_facet |
Cavalheiro,Camila Maftoum Gobbi,Riccardo Gomes Hinckel,Betina Bremer Demange,Marco Kawamura Pécora,José Ricardo Camanho,Gilberto Luis |
author_role |
author |
author2 |
Gobbi,Riccardo Gomes Hinckel,Betina Bremer Demange,Marco Kawamura Pécora,José Ricardo Camanho,Gilberto Luis |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Cavalheiro,Camila Maftoum Gobbi,Riccardo Gomes Hinckel,Betina Bremer Demange,Marco Kawamura Pécora,José Ricardo Camanho,Gilberto Luis |
dc.subject.por.fl_str_mv |
Bone fractures Patellar dislocation Articular ligaments Osteochondritis |
topic |
Bone fractures Patellar dislocation Articular ligaments Osteochondritis |
description |
ABSTRACT Osteochondral fracture after acute patellar dislocation in teenagers is relatively common (up to 60% of cases of patellar dislocation), but poorly diagnosed. There are several treatments proposed for this type of injury, but none well defined in the literature.A male patient, 13 years old, with a diagnosis of osteochondral fracture of the lateral femoral condyle after acute dislocation of the right patella. He underwent surgical treatment of the chondral injury, which consisted of suturing of the chondral fragment to the cartilage defect and, in a second approach, reconstruction of the medial patellotibial ligament and medial patellofemoral ligament with autologous flexor graft. Currently, the patient has been followed up for 16 months postoperatively for the suture of the chondral fragment and for 8 months for the ligament reconstruction. He has been evaluated through functional scores and T2 weighted magnetic resonance imaging. Acute fixation through direct bone suturing of a purely chondral fragment can be considered in special situations. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000500636 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000500636 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.rboe.2017.04.008 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.53 n.5 2018 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122361545490432 |