Operative Treatment of Unilateral Bicondylar Hoffa Fractures

Papadopoulos, A.; Panagopoulos, Andreas; Karageorgos, Athanasios D.; Tyllianakis, Minos

doi:10.1097/00005131-200402000-00012

Cited by 59 publications

(62 citation statements)

References 2 publications

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“…Non-operative treatment of coronal plane fracture by close reduction and cast results in an unacceptably high rate of malunion, non-union and stiffness of the knee joint 5 14. As these injuries are highly unstable, these kinds of fractures should be addressed with open reduction and internal fixation with partially threaded cancellous screws or headless screws.…”

Section: Discussionmentioning

confidence: 99%

Conjoined bicondylar coronal plane fracture of the distal femur associated with incarcerated patella

et al. 2016

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Conjoint bicondylar coronal plane fracture is a rare orthopaedic injury, associated with high-velocity trauma. The proposed mechanism is axially directed shear forces in a flexed knee. To the best of our literature search, only 2 cases of conjoint bicondylar coronal fracture have been published in English literature-1 each in adult and paediatric age group. Conjoint bicondylar coronal plane fracture with incarcerated patella has not yet been reported and hence this is the first report of its kind. We report on the clinical presentation, management and outcome of such a complex injury, along with a comprehensive, up-to-date literature review. Prompt open reduction and internal fixation coupled with early knee mobilisation is the key to achieve good functional outcome.

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Section: Discussionmentioning

confidence: 99%

Conjoined bicondylar coronal plane fracture of the distal femur associated with incarcerated patella

et al. 2016

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“…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. The stable fixation allows for early and pain-free mobilization, reducing the risk of knee stiffness.…”

Section: Discussionmentioning

confidence: 99%

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

Wagih

2015

Arthroscopy Techniques

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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.

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“…Most authors conclude that non-operative treatment of these complex injuries leads to malalignment, rotational deformities, loss of knee movement, joint contractures and subsequent osteoarthritis. 3,5,8,9 The best treatment for most of these lesions is open reduction and internal fixation, although technical skill is essential for a satisfactory result. 6 Operative treatment is known to allow early functional rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

“…A bicondylar pattern of this injury, affecting both the medial and lateral condyles, is even more rare; to our knowledge, only eight cases have been described in the world literature. 1,8,9 Hoffa's fracture associated with trauma to the extensor mechanism is reported occasionally. 1 We present here a case of bicondylar Hoffa's fracture, which was missed initially and was treated 6 months after the original injury.…”

Section: Introductionmentioning

confidence: 99%