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Abstract

Background: Hoffa fracture management is almost always surgical since it involves the intraarticular part of the femur. It can be managed either with cannulated cancellous screw alone or with the addition of a buttress plate. The study aimed to evaluate and compare the functional outcome of fracture fixation between the CC screw &CC screw with a buttress plate. Method: This was a prospective study of 30 patients with Hoffa fracture conducted between January 2020 to December 2021. Patients were allotted into 2 groups. Group A was treated with CC screw fixation, Group B was treated with CC screw + buttress plate. Post-operatively, follow-up was done for 1 year. Results: There were 14 males and 16 females in our study with both sides equally injured. The mean age of patients was 36.1 ranging from 23 to 52 years. RTA was the most common mode of injury. The average blood loss during group A was 117 ml and for group, B was 182.1 ml which is statistically significant. The average postoperative LKSS score after 3 months was 76.1 for group A and 88.1 for group B which is statistically significant. Conclusion: Hoffa fracture treated with CC screws alone had less blood loss and hospital stay but not significantly better than CC screw with a buttress plate in terms of knee ROM and functional score. Both procedures didn't have significant complications. INTRODUCTION:The Hoffa fracture of the distal femur is a coronal fracture involving one or both of the femoral condyles 1 . These fractures are quite rare and so can be picked up only with a high index of suspicion. Lateral condylar and bilateral condylar fractures are more common than medial condylar fractures 2 . As per the AO/OTA classification, Hoffa fractures come under type 33-B3 3 .