Author(s)

Tchatchuang Paul Urich Tambekou¹, Batarabadja Bakriga¹, Noufanangue Kombate², Atchi Walla¹, Anani Abalo¹, Assang Michel Dossim¹

¹Department of Orthopaedics Tokoin Teaching Hospital, Lomé, Togo.
²Afagna Hospital, Afagnan, Togo.

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.

Fracture, Unicondylar, Femur, Nail of Küntscher, Surgical Treatment

Tambekou, T. , Bakriga, B. , Kombate, N. , Walla, A. , Abalo, A. and Dossim, A. (2017) Sagittal Unicondylar Fracture of the Femur on Nail of Küntscher. Open Journal of Orthopedics, 7, 192-197. doi: 10.4236/ojo.2017.77021.