A Mechanical Evaluation of Two Fixation Methods Using Cancellous Screws for Coronal Fractures of the Lateral Condyle of the Distal Femur (OTA type 33B)

Jarit, Gregg J; Kummer, Frederick J.; Gibber, Marc; Egol, Kenneth A.

doi:10.1097/00005131-200604000-00007

Cited by 83 publications

(79 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Sometimes the typical anterior-posterior screws fixation alone for the Hoffa fracture is not sufficient when the fracture has metaphyseal extension which might need an additional buttress plate fixation but in our case it was not required as the fracture did not have a metaphyseal extension [5,[10][11][12]. In this patient antero-posterior screws was used for ease of access due to the patient other injuries rather than the biomechanically stronger postero-anterior screws [13].…”

Section: Discussionmentioning

confidence: 73%

Open Medial Hoffa Fracture with Ipsilateral Femoral Shaft Fracture. Case Report

Abdullah¹,

Alkhatib²,

Imran³

et al. 2018

Trauma Cases Rev

View full text Add to dashboard Cite

Hoffa fracture is coronal plane fracture of the femoral condyle that affects the lateral femoral condyle much more than the medial. The combination of medial femoral condyle Hoffa fracture with ipsilateral femoral shaft fracture is very rare combination with only 3 cases were reported previously. This fracture type usually requires high energy trauma and it was reported following a motor injury. We reported a 53-year-old male, who was riding a motor cycle when he was hit by car and presented to the emergency trauma care as a polytrauma patient with open medial Hoffa fracture, ipsilateral femoral shaft fracture and knee ligamentous injury in addition to other injuries in his wrist, ankle and spine. The patient was treated for his fractures and ligamentous injuries followed by early mobilization. KeywordsHoffa fracture, Femoral condyle fracture, Intra-articular knee fracture, Femoral shaft fracture, Trauma, Knee injury instability and deformity with non-operative management [3,4]. In this case report we describe unique case of open medial Hoffa fracture with associated injuries. Case ReportOur patient is 53-year-old male, previously healthy, was brought to trauma room in the emergency department of Hamad General Hospital, as a case of motor cyclist who was hit by a car from the left side. The patient was complaining of left body side pain including thigh, knee, leg, ankle and wrist pain. He was also complaining of upper lumbar back pain. No past medical or surgical history. He was conscious, oriented. His left wrist was swollen, tender with friction burn on the anteromedial aspect. Left thigh showed moderate swelling and tenderness, Left knee open lacerated wound 10 cm Gustillo type III a on the medial side, tenderness, unstable knee on gentile valgus stress with bloody oozing from the wound, Left ankle abrasions and tenderness over the medial malleolus, log-rolling was done to examine his back and revealed tenderness over the upper lumbar spine. Radiological investigations showed: Simple oblique left femur shaft fracture type AO 32-A2, left medial Hoffa fracture type AO 33-B3 as shown in Figure 1, left distal radius styloid fracture AO 23-B1, left ankle fracture and L1 mild compression spine fracture. In the emergency department, the patient was managed by washing of the wound, antibiotic, analgesia, intravenous fluids and intramuscular tetanus toxoid. Close reduction and backslab plasters were applied for his left wrist and left ankle fractures. In addition skin traction applied for the left femur shaft CASe RepoRtCheck for updates

show abstract

Section: Discussionmentioning

confidence: 73%

Open Medial Hoffa Fracture with Ipsilateral Femoral Shaft Fracture. Case Report

Abdullah¹,

Alkhatib²,

Imran³

et al. 2018

Trauma Cases Rev

View full text Add to dashboard Cite

show abstract

“…The standard method of fixing these fractures is using cannulated screws in compression mode. (9,10) However, as these are shear fractures the parallel screw configuration sometimes leads to fixation failure. The parallel screw configuration perpendicular to the fracture line provides compression; however, in any case when the fixation is found to be not rigid and is not able to resist shear in comminuted fractures we had augmented our fixation using extra screws in multiple directions along with the compression screws to prevent displacement.…”

Section: Resultsmentioning

confidence: 99%

Treatment of “Hoffa” Fractures of the Distal Femoral Condyle

C¹,

S²

2017

jemds

View full text Add to dashboard Cite

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.

show abstract

“…10 The screws should be placed as far laterally as possible with their heads countersunk to avoid damage to the opposing articular cartilage. 11 Although the direction of the screws is not perpendicular to the fracture and may cause some displacement with tightening, this concern is overcome by first fixing the fracture with 2 guidewires before drilling and inserting the screws.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Management of a Posterior Femoral Condyle (Hoffa) Fracture: Surgical Technique

Wagih

2015

Arthroscopy Techniques

View full text Add to dashboard Cite

Unicondylar fractures of the lower end of the femur are uncommon injuries that usually occur in the sagittal plane. A coronal (tangential) plane fracture, first described by Hoffa in 1904, is unusual. It is an intrinsically unstable type of intra-articular fracture that warrants operative fixation, usually by an open technique. A simple method for the treatment of lateral femoral condyle coronal fractures with arthroscopic-assisted reduction and internal fixation by cannulated screws is reported. Managing fractures of the posterior femoral condyle with arthroscopic reduction and fixation with cannulated screws is simple and effective and could be reproducible with good results and a good prognosis.

show abstract

A Mechanical Evaluation of Two Fixation Methods Using Cancellous Screws for Coronal Fractures of the Lateral Condyle of the Distal Femur (OTA type 33B)

Cited by 83 publications

References 13 publications

Open Medial Hoffa Fracture with Ipsilateral Femoral Shaft Fracture. Case Report

Open Medial Hoffa Fracture with Ipsilateral Femoral Shaft Fracture. Case Report

Treatment of “Hoffa” Fractures of the Distal Femoral Condyle

Arthroscopic Management of a Posterior Femoral Condyle (Hoffa) Fracture: Surgical Technique

Contact Info

Product

Resources

About