BACKGROUNDCoronal plane "Hoffa" fractures of the distal femoral condyles are a rare entity. Lateral fractures are three times more common than medial fracture. They are commonly associated with supracondylar fractures of the distal femur; however, as an isolated injury they are rare. MATERIALS AND METHODSAt our Institute during a three-year period, 05 cases of Hoffa fracture were treated. All the fractures were involving lateral condyle. The fracture were approached using a parapatellar incision. The parapatellar arthrotomy was carried out accordingly on the lateral side. RESULTSAll fractures united within 4 months. There were no instances of infection or non-union. The mean range of motion was -Extension to 130 degrees of flexion. The average Tegner Lysholm knee score was 88. All patients achieved satisfactory joint function and regained their walking ability with good clinical results. CONCLUSIONDirect reduction and stable fixation of Hoffa fractures leads to good clinical and radiological outcomes of these rare injuries. The parapatellar allows excellent visualisation and enough space for fixation of these fractures.
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