NEGLECTED DISTAL FEMORAL EPIPHYSEAL INJURY IN A YOUNG ADULT-TREATMENT STRATEGIES - A CASE REPORT

Dr.K PARTHASARATHI NAIK; Dr. SOMNATH MACHANI

Volume : VIII, Issue : IV, April - 2019

NEGLECTED DISTAL FEMORAL EPIPHYSEAL INJURY IN A YOUNG ADULT-TREATMENT STRATEGIES - A CASE REPORT

Dr. K Parthasarathi Naik, Dr. Somnath Machani

Abstract :

Neglected Distal femoral epiphyseal injury in young adults is a rarely encountered clinical entity. The axial mal-alignment and the functional impairment creates a challenge in management of this injury. The soft tissue contractures, its proximity to neurovascular structures and a complicated osseo-ligamentous anatomy of the knee calls for precise surgical expertise. We report a case of neglected epiphyseal injury of the distal femur creating a multiplanar deformity- axial and coronal (similar to a Hoffa�s type of lesion in adults) and the management strategies adopted based on the concept of distraction epiphysiolysis to achieve a successful result. Neglected distal femoral epiphyseal injuries are rarely encountered clinical problem. They pose a great challenge to the operating surgeon and demands meticulous planning in operative management of this lesion. Anatomical reconstruction is essential to obtain limb alignment. Distraction epiphysiolysis is one such good strategy as a initial step in such a complicated scenario to overcome soft tissue contractures which helps in achieving a safe and anatomical reconstruction in next stage.