An unicondylar fracture of the femur is uncommon\nand of the medial condyle more so. Open reduction\nand internal fixation of these fractures is most\ncommonly performed with screws or plate and screws.\nSecure bone fixation is compromised by osteoporosis in\nelderly patients; additional measures may be required. We\nreport the case of an elderly osteoporotic patient with a\nmedial condyle fracture nonunion treated successfully\nthrough retrograde intramedullary nailing. A 78-year-old\nosteoporotic woman suffered medial condyle fracture of\nthe femur 9 months before visiting our hospital. She had\nbeen treated conservatively, and the fracture demonstrated\na complete nonunion with gross instability. The edge\nfragments appeared sclerotic, and the nonunion site was\naccompanied by a bony defect. Although fixation by a plate\nand screw is the standard method for the treatment of such\nfracture, we judged that stability would be difficult to\nachieve with this method due to the accompanying bony\ndefect and osteoporosis. Thus, we performed open reduction\nand fixation by retrograde intramedullary nailing with\nthe use of ââ?¬Ë?ââ?¬Ë?condyle screw and nutââ?¬â?¢Ã¢â?¬â?¢ system, followed by\nbone grafting. Bony union was successfully obtained. The\nstability and range of motion of the knee were recovered,\nand the patient regained the ability to walk. We suggest the\nunique application of retrograde intramedullary nailing\nwith condyle screw and nut for the treatment of specific,\ncomplex cases of femoral medial condyle fracture.
Loading....