Uni condylar fracture of the femur type trelat associated with dislocation of the patella. Diagnostic difficulty regarding a case in abidjan (ivory coast)

Abstract

Introduction: We report the case of a lateral uni-condylar fracture of the femur type Trélat associated with a dislocation of the patella, which posed a diagnostic problem for us. Observation: This is a 26-year-old patient who suffered an open trauma to the right knee following a motorcycle accident. We mentioned the diagnosis of a Trélat fracture associated with an avulsion of the patella. Indeed we had difficulty recognizing the dislocation of the knee on the radiological incidences of the front and profile of the knee. The diagnosis of patella dislocation incarcerated in the condyle was only made intraoperatively. We performed trimming of the wound, reduction of the patella and osteosynthesis of the condyle. Conclusion: A careful radiographic examination is essential for any uni-condylar fracture of the femur because of the possible lesional association of the patella and the tibial plateaus.