M.E.Müller: Atlas: Fracture 33-B1

Femur, Distal,
partial articular fracture,
lateral condyle, sagittal 0,31% of the total
0,51% of the femur
8,72% of the segment

51 fractures
30,0% group
47%M, 53%F

76 fractures
44,7% group
72%M, 28%F

43 fractures
25,3% group
70%M, 30%F

Simple, through the notch Simple, through the load-bearing surface Multifragmentary

These are partial articular fractures of the distal femur involving the lateral condyle in the sagittal plane. The fracture line is simple and goes through the load bearing surface of the condyle. Ref. Manual of Internal Fixation:
184 - 189. 548 - 552.
Surgeon. CS.

As in all articular fractures, anatomic reduction is mandatory. In some cases the X-ray appereance may be misleading. If the CT scan shows no displacement, percutaneous internal fixation may be performed with two cancellous screws for interfragmentary compression.

On the other hand, if there is even minimal displacement or intra-articular small fragments, open reduction is indicated and internal fixation performed with lag screws, sometimes supported by a properly molded small straight plate.

preoperative preoperative

postoperative postoperative




						Femur, Distal, partial articular fracture, lateral condyle, sagittal	0,31% of the total 0,51% of the femur 8,72% of the segment






These are partial articular fractures of the distal femur involving the lateral condyle in the sagittal plane. The fracture line is simple and goes through the load bearing surface of the condyle.		Ref. Manual of Internal Fixation: 184 - 189. 548 - 552. Surgeon. CS.

As in all articular fractures, anatomic reduction is mandatory. In some cases the X-ray appereance may be misleading. If the CT scan shows no displacement, percutaneous internal fixation may be performed with two cancellous screws for interfragmentary compression.	On the other hand, if there is even minimal displacement or intra-articular small fragments, open reduction is indicated and internal fixation performed with lag screws, sometimes supported by a properly molded small straight plate.