TITLE:
Sagittal Unicondylar Fracture of the Femur on Nail of Küntscher
AUTHORS:
Tchatchuang Paul Urich Tambekou, Batarabadja Bakriga, Noufanangue Kombate, Atchi Walla, Anani Abalo, Assang Michel Dossim
KEYWORDS:
Fracture, Unicondylar, Femur, Nail of Küntscher, Surgical Treatment
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.7 No.7,
July
25,
2017
ABSTRACT: Unicondylar fractures of the femur on osteosynthesis equipment are a particular entity in terms of the lesion mechanisms and therapeutic difficulties. We report this case because of its exceptional nature and discuss the mechanism of occurrence. It was a lateral sagittal unicondylar fracture of the femur on a nail of Küntscher that had been laid for medio-diaphyseal fracture. The causal mechanism was direct. A double screwing on each side of the nail after an open reduction followed by an early rehabilitation was carried out. Consolidation was obtained at 3 months and the nail removed at 18 months with a good functional knee result. Anatomical reduction and fixation allowing early rehabilitation represent a guarantee for a good long-term result.