Operative management of Hoffa fractures—A prospective review of 18 patients

Gavaskar, Ashok S.; Tummala, Naveen C.; Krishnamurthy, Mukunth

doi:10.1016/j.injury.2011.09.005

Cited by 60 publications

(67 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our results are comparable to other published series. 2,6,8 Results emanating from our series point toward relatively better outcome in operatively treated medial condyle Hoffa fractures than lateral condyle involvement, albeit it failed to reach statistical significance. Few complications were seen, mostly in case of lateral condyle involvement, and we speculate delay of surgery, poor articular reduction, comminution, and osteoporosis portend poor functional outcome.…”

Section: Discussionmentioning

confidence: 73%

Analysis of functional outcome of Hoffa fractures: A retrospective review of 32 patients

Trikha

Das

Gaba

et al. 2017

Journal of Orthopaedic Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 73%

Analysis of functional outcome of Hoffa fractures: A retrospective review of 32 patients

Trikha

Das

Gaba

et al. 2017

Journal of Orthopaedic Surgery

View full text Add to dashboard Cite

show abstract

“…Lag screw fixation is the most accepted method to fix Hoffa fractures. A midline incision with medial/lateral parapatellar arthrotomy is the most commonly reported approach [10, 13, 17, 18]. Lateral parapatellar arthrotomy provides visualization of fractures and articular surface that is necessary for achieving perfect anatomical reduction and the exposure required to compress and rigidly fix the fractures with multiple lag screws [17, 18].…”

Section: Discussionmentioning

confidence: 99%

Bicondylar Hoffa Fracture Successfully Treated with Headless Compression Screws

Lee

Niikura

Igarashi

et al. 2014

Case Reports in Orthopedics

View full text Add to dashboard Cite

Bicondylar coronal plane fracture, eponymically named Hoffa fractures, is an extremely rare injury. We present a case of isolated unilateral bicondylar Hoffa fracture that was successfully treated with open reduction and internal fixation using headless compression screws with satisfactory results. We inserted posteroanteriorly oriented Acutrak screws perpendicular to the fracture plane via lateral parapatellar arthrotomy, which provided excellent compression across the fracture.

show abstract

“…13 Bone union was defined clinically as the ability to bear weight without pain and radiologically as obliteration of the fracture line and evidence of bridging trabeculae across the fracture lines. 7 The IKS scores, postoperative ROM, and time of bone union were used as outcome measurements. Postoperative knee ROMs were compared with the contralateral healthy knee.…”

Section: Operative Techniquementioning

confidence: 99%

“…Articular reductions were classified as anatomical, acceptable (< 2 mm step off), and poor (> 2 mm step off) on the immediate postoperative X-ray. 7 IBM SPSS Statistic Version 20.0 software was used for statistical analysis. The data were evaluated with descriptive statistical methods (mean, standard deviation).…”

Section: Operative Techniquementioning

confidence: 99%

Arthroscopic Treatment of Isolated Hoffa Fractures

2017

View full text Add to dashboard Cite

The goal of this study was to evaluate the results of a novel method, arthroscopic fixation of isolated Hoffa fractures.This is a prospective, case series and set at Level 1 trauma center. A total of eight patients with isolated Hoffa fractures who were operated by arthroscopic screw fixation method in the anterior posterior direction with 6.5 mm cannulated screws were followed up prospectively. Same surgical method used for all patients. All patients underwent the same rehabilitation program and active range of motion (ROM) exercises were started immediately. The International Knee Society (IKS) knee and functional scores, postoperative knee ROMs, and time of bone union were used as outcome measurements. Postoperative knee ROMs was compared with the contralateral healthy knee. The mean follow-up time was 29 months (26 - 41 months). At the final review, no significant difference ( = 0.159) was found between the ROM of healthy side and operated side of patients (153.1 ± 4.6 and 150 ± 3.8). The mean IKS knee and functional scores at 12 months were 87.2 ± 5.8 and 96.8 ± 3.7, respectively. Union was achieved in all patients at a mean duration of 3.8 months. Fracture side had no influence on the IKS knee scores, functional scores, and ROM ( = 0.846, = 0.913, and = 0.374, respectively). Concomitant intra-articular lesions identified in two patients (%25) during arthroscopy were one anterior cruciate ligament rupture and one medial meniscus tear. Patients undergoing arthroscopic Hoffa fracture fixation have excellent outcomes at average 29 months postoperatively with no apparent complications and no significant loss of ROM. Also 25% of patients had intra-articular injuries that were identified with arthroscopic technique that may have been missed with the open technique. The level of evidence was Level 4 (case series).

show abstract

Operative management of Hoffa fractures—A prospective review of 18 patients

Cited by 60 publications

References 11 publications

Analysis of functional outcome of Hoffa fractures: A retrospective review of 32 patients

Analysis of functional outcome of Hoffa fractures: A retrospective review of 32 patients

Bicondylar Hoffa Fracture Successfully Treated with Headless Compression Screws

Arthroscopic Treatment of Isolated Hoffa Fractures

Contact Info

Product

Resources

About