What is osteochondral defect medial femoral condyle?
Osteochondral defect. An osteochondral defect of the femoral condyle (✩) may be the result of several acute and chronic conditions that produce a surface deformity with a localized defect of the articular cartilage and subchondral bone.
Does a femoral condyle fracture require surgery?
Isolated coronal fracture of medial femoral condyle with intact lateral femoral condyle is extremely rare [,,], caused by a direct impact on the flexed knee during weight bearing [3]. Surgery is the gold standard for displaced fractures or to enable rapid return of knee function.
Can osteochondral fracture heal?
Because osteochondral fractures involve the subchondral bone, there is the potential that some of these injuries may heal without intervention. Non-operative treatment of these lesions generally involves a period of non- or restricted- weight bearing and joint protection.
What is osteochondral fracture in knee joint?
An osteochondral fracture (OCF) occurs when a piece of the smooth surface on the end of the bone fractures. This takes place in a joint when the articulating cartilage (chondro) and part of the underlying bone (osteo) breaks off of the bone itself and become a fragment.
How serious is osteochondral defect?
When osteochondral defects are present, they can range in their severity: Slight pain caused by damaged cartilage. Moderate movement problems and pain caused by fragments of bone and cartilage. Total loss of cartilage, leaves bones grinding together and often severe pain.
How do you treat osteochondral injury?
The common treatment strategies of symptomatic OLTs include nonsurgical treatment with rest, cast immobilisation and use of NSAIDs; surgical treatment includes surgical excision of the lesion, excision and curettage, excision combined with curettage and microfracturing, filling of the defect with autogenous cancellous …
How long does a medial femoral condyle fracture take to heal?
Medial Femoral Condyle Fracture Study Results Their fractures were fixated using screws and most patients made a full recovery in a few months. The average time for a complete union of the fracture was around 4.5 months. Most patients did not suffer any loss of function, including mobility loss, in the injured limb.
How long does a condyle fracture take to heal?
The most common timeline for this injury is four to six weeks in a long arm cast. Your child will then come back to get the cast removed and have an x-ray. Pins from surgery are removed once the bone has healed and is stable. If screws were used, they may not need to be removed.
What causes an osteochondral fracture?
Osteochondral injuries usually are caused by a twisting motion that results in an ankle sprain. During this type of injury, the talus bone or surrounding cartilage may come into contact with the shin bones (the tibia and fibula), bruising or fracturing the smooth articular surface.
What is femoral condyle fracture?
What is a fracture of the femoral condyle? A femoral condyle is the ball-shape located at the end of the femur (thigh bone). There are two condyles on each leg known as the medial and lateral femoral condyles. If there is a fracture (break) in part of the condyle, this is known as a fracture of the femoral condyle.
What causes osteochondral fracture of the knee?
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.
How do you fix osteochondral defect?
Another technique, typically reserved for larger areas of loss and some forms of osteochondral defects, is to perform a transplant procedure. Several types of transplants have been described, including taking small plugs of bone and cartilage from other locations in the knee and filling this defect.
What is an osteochondral injury?
An osteochondral injury is an injury to the smooth surface on the end of bones, called articular cartilage (chondro), and the bone (osteo) underneath it. The degree of injury ranges from a small crack to a piece of the bone breaking off inside the joint. These fragments can be of many sizes and depths and can stay attached…
What is osteochondritis dissecans or OCD lesions?
What is osteochondritis dissecans (OCD)? A lesion of the cartilage and bone due to necrosis and loss of continuity of the underlying bone. The OCD lesion can remain in contact with the adjacent bone, maybe partially separated or completely separated.
What is a nondisplaced subchondral fracture?
Nondisplaced means that a fracture is present in the bone but the bone fragments have not separated. Subchondral refers to the bone below the joint.
What is a subchondral insufficiency fracture?
A subchondral insufficiency fracture refers to a type of stress fracture that occurs below the chondral surface on a weight-bearing surface of a bone. They tend to occur when normal physiological forces are repeatedly applied to an area of bone.