Malunion fracture of supracondylar femur sinistra with post traumatic arthritis and stiffness at genu sinistra: a case report

Authors

  • Jimmy Kuncoro Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Airlangga- Dr. Soetomo General Hospital, Surabaya, Indonesia
  • Muhammad Bayu Zohari Hutagalung Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Airlangga- Dr. Soetomo General Hospital, Surabaya, Indonesia http://orcid.org/0000-0003-2431-1957
  • Dwikora Novembri Utomo Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Airlangga- Dr. Soetomo General Hospital, Surabaya, Indonesia http://orcid.org/0000-0002-7832-5695

DOI:

https://doi.org/10.18203/2349-2902.isj20215157

Keywords:

Malunion fracture, Supracondylar femur, Post traumatic arthritis, Stiffness of genu

Abstract

Post-traumatic osteoarthritis could emerge immediately after an injury or one year after a bone fracture, ligament injury, and meniscal tears. In this case report, we present a 30 years old male who previously suffered from joint injury and thus lost the ability to flexion. This patient has already under went internal bone implantation surgery involving the implantation but was removed due to pain, and there was protruding implant on the left knee. On physical examination, there was varus deformity with flexion ranged between 0-5°. On radiological examination, malunion and narrowing of the joint surface were, as shown, clinically inhibit the flexion of the knee. We diagnose the patient with malunion supracondylar femur sinistra and post traumatic osteoarthritis genu sinistra. Liberation procedure (soft tissues release) and osteotomy of the distal femur were performed on this patient. On post-op radiological examination, the implant successfully widens the joint surface and holds the fracture fragment after it was reduced. The joint was immediately mobilize using the machine. It was shown that in a relatively short period, the range of motion could reach 90°. Three months post-op, evaluation was done, and it was clearly shown that the range of motion had not decreased.

Author Biographies

Jimmy Kuncoro, Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Airlangga- Dr. Soetomo General Hospital, Surabaya, Indonesia

Resident of Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Airlangga- Dr.Soetomo General Hospital, Surabaya

Muhammad Bayu Zohari Hutagalung, Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Airlangga- Dr. Soetomo General Hospital, Surabaya, Indonesia

Resident of Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Airlangga- Dr.Soetomo General Hospital, Surabaya

Dwikora Novembri Utomo, Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Airlangga- Dr. Soetomo General Hospital, Surabaya, Indonesia

Professor of Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Airlangga- Dr.Soetomo General Hospital, Surabaya

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Published

2021-12-28

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Section

Case Reports