Xrays of condyles of femurĀ are common injuries. Lateral condyle injuries are more common as compared to medial condyle. If undisplaced the medial condyle fractures can be managed by non operative means. Displaced fractures require open reduction and internal fixation.
Following xray belongs to a 39 years old male who got injured following fall from bicycle.

The fracture is marked by arrows in both the views.
The fracture was managed with above knee cast.
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sir,can you please tell me why salmonella osteomyelitis is commoner in sickelcell disease?
Dr Arun Pal Singh Reply:
August 13th, 2010 at 4:14 pm
@srujana setty,
Sickle cell causes multiple infarction of the bone which can be invaded by Salmonella which it otherwise is unable to do in healthy bone.
Thank you for the reply ,sir.
Dr Arun Pal Singh Reply:
August 24th, 2010 at 9:35 am
@srujana setty,
Welcome. It seems that you are a medical student.
All the best for your career.
i suffered a multiple communited intercondylar (involving patella and proximal medial tibia) # of left knee on 09/04/2010. operated at BARCH, Mumbai. plates on lateral femur, medial femur and medial tibia were fixed. non wt bearing 6 weeks and regular follow ups done in oct 2010 x-ray medial femoral condyl plate was broken and medial condyl did not healed and a non union was noted, rest all healed well. resurgery with locking plate and bone grafting done on 28 jan 2011 . will now the fracture heal, still on NWB, next fu with x ray is on 26th feb2011. pl suggest thanks
Dr Arun Pal Singh Reply:
March 8th, 2011 at 1:04 pm
@manikchandra tiwari,
While you should hope for the best and with bone grafting chances of union increase tremendously, only time would tell.
What is the latest?
thanks latest proceedings from my doctor is to go slow with physiotherapy, and also non weight bearing till next fu on 26/03/2011.
thanks again.
Motorcyle accident at age 8 to medial aspect of Rt. Knee. Injury was Aug. 1978. Can’t obtain records and difficult to assess the injury now 33 yrs later via Xray and MRI. Possible dispaced medial femoral condylar fracture/break. Had surgery to repair in ’78, scar is barely detectable medially, developed OA of medial compartment at age 17. Exercise has been the answer ever since. Now a bone spur is developing medially and having bouts of inflammation q 2-3mo despite vigorous exercise. Have great cartilage, plenty of space between femur/tibia, excellent tendon strength and health with no laxity of the ACL. I’m a health nut and take all of the supplements: glucosamine,chondroitan sulfate, msm, hyaluronic acid, boswellia, white willow bark, etc. Bought a cane for future flare-ups and a custom Donjoy OA offloading knee brace.
Have had two bouts of PRP injections (platelet rich plasma) into the joint space. Only 3 wks and 1 wk ago. Still no pain or flare-ups.
Question: What else can I do to avoid knee replacement before I’m 50?!
Dr Arun Pal Singh Reply:
September 8th, 2011 at 7:30 am
@Ben L,
I think you are already taking a lot of care yourself. Do you have any symptoms?
Apart from age, weight is a risk factor for developing or worsening the OA.
I assume you are already managing the second factor.
All the best.
dear sir what should be done to a 31 yrs old female having a v n femur head . t h r at this stage . if after 15 yrs it will create problem then what if t h r then cementless or girdle stone first then at 45 t h r . pls reply thanks .
Dr Arun Pal Singh Reply:
April 18th, 2012 at 11:07 pm
@DR SAVAID ABBAS MIRZA,
What is the stage of the disease?