Dear all, This ppt contains the cause, types, clinical and radiological features, treatment and complication of condylar fracture of femur and patella fracture. I hope this is useful to you. Thank you

1. By :- Dr. Bindesh D. Patel, PT
Deputy Registrar
P P Savani University
Condylar fracture of Knee

2. • Three types
1. Supracondylar fracture
2. Intercondylar fracture :- T or Y
3. Unicondylar fracture
• Direct trauma
• Indirect trauma

4. Diagnosis
• Pain, swelling and bruising around knee
• Often missed when associated with severe
injury
• X-ray confirms diagnosis

5. Treatment
• Unidcondylar fracture
– Undisplaced :- Long leg cast for 3-6 weeks,
followed by protected weight bearing
– Displaced :- Open reduction internal fixation with
multiple cancellous screws. Buttress plate may be
used.

6. • Intercondylar fracture
– Aim is to restore congruity of the articular surface
– ORIF in displaced one
– Condylar plates, DCS, LCP implants can be used
– ORIF permits early knee mobilization
– In some comminuted fracture, conservative
treatment is acceptable

7. • Supracondylar fracture
– Displaced one with ORIF
– Nail or Plate may be used

8. Complications
• Knee stiffness
• Osteoarthritis
• Malunion

9. By :- Dr. Bindesh D. Patel, PT
Deputy Registrar
P P Savani University
Fracture of Patella

10. • Common fracture
• May be due to direct or indirect force
• Two part fracture
• Stellate fracture

11. Pathoanatomy
• Hold in position by intact pre-patellar
expansion of the quadriceps tendon in front
and by patellar retinaculae on the slides
• If force is strong it will pull the fragment

12. Clinical features
• Pain, swelling over knee due to haemarthrosis
• Bruises over knee
• Crepitus
• In displaced fracture, gap may be felt in
between
• Patient will not be able to lift leg
• Knee remains in short of extension (Extensor
lag)

13. • Radiological examination
• Undisplaced fracture :- Skyline view of the
patella
• AP and Lateral view of X-ray

14. Treatment
• Undisplaced fracture
• Aim is to relief pain
• Plaster cast from groin to just above malleoli,
cylinder cast
• For 3 weeks

15. • Clean break with separation of fragments
(Two Part Fracture)
• TBW and repair of extensor retinaculae
• Patellectomy and repair of extensor
retinaculae
• Partial Patellectomy
• Cylinder cast for 4-6 weeks

16. • Comminuted fracture
• Patellectomy is preferred option
• Future osteoarthritis risk reduces

17. Complications
• Knee stiffness
• Extensor weakness
• Osteoarthritis

18. Thank you

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