Abstract

Karim El Hammiri*, Tarik El Mountassir, Moncef Boufettal, Reda Allah Bassir, Jalal Mekkaoui, Mohamed Kharmaz, Moulay Omar Lamrani and Mohamed Saleh Berrada

ABSTRACT

We report on the case of a sagittal plane fracture of medial femoral condyle associated with dislocation of the patella which was found completely locked into the distal femur fracture. A 19-year-old male presented with a history of road traffic accident to our emergency. He sustained injury to his left knee with anterolateral wound. Plain X-ray showed fracture-dislocation of the patella which was incarcerated into a distal femur fracture. C.T angiography showed permeable vascular axes. Early surgery was done with anterolateral approach. Postoperative X-ray showed anatomical reduction of the distal femur fracture, with adequate positioning of the patella. At 4-month follow-up, the patient was pain-free, could walk independantly and has regained a good range of knee motion. The patella was completely stable and plain X-ray demonstrated satisfactory union.