Case Report: Isolated osteochondral fracture of the weight-bearing lateral femoral condyle

Abstract

<ns7:p>Introduction Osteochondral fractures (OCF)s of the femoral condyle are rare in pediatric patients but can have significant implications if missed or left untreated. Surgical fixation is often recommended, particularly in young, to restore joint congruency and function. Case report We report the case of a 14-year-old boy who presented with isolated weight-bearing OCF of the lateral femoral condyle following a sports injury. Magnetic resonance imaging (MRI) revealed a 30.4 mm osteochondral fragment confirmed by arthroscopy but unsuitable for percutaneous management due to its size and location. Open reduction and internal fixation were performed using headless compression screws, a technique reserved for those cases where based on sufficient detached fragment bone to facilitate secure fixation and bone-to-bone healing. Conclusion This case underscores the importance of prompt diagnosis and individualized treatment to prevent long-term joint damage, contributing valuable insights into the management of pediatric femoral osteochondral fractures.</ns7:p>