Paediatric conjoint bicondylar Hoffa fracture with patellar tendon injury: An unusual pattern of injury

Julfiqar,; Huda, Najmul; Pant, Ajay

doi:10.1016/j.cjtee.2018.08.008

Cited by 6 publications

(6 citation statements)

References 12 publications

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“…Type II fracture is similar to type I fracture, but the fracture line is closer to the posterior condyle, and is further divided into A, B, and C subtypes based on the distance. Type III is a fracture oblique to the femur condyle, and can be divided into the medial, lateral, or conjoint bicondylar fracture according to the fracture site[ 1 , 8 , 9 ]. A summary of the main surgical approaches and fixation methods for different Hoffa fracture types is provided in Table 1 [ 10 - 16 ].…”

Section: Discussionmentioning

confidence: 99%

Hoffa’s fracture in an adolescent treated with an innovative surgical procedure: A case report

Jiang¹,

Wang²,

Ye³

et al. 2022

WJCC

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BACKGROUND Hoffa fracture is rare, especially in adolescents, and has a high rate of complications such as avascular necrosis and osteoarthritis; moreover, there are no definitive guidelines for its treatment. This report could provide a new potential treatment for Hoffa fracture. CASE SUMMARY A 16-year-old girl presented to the orthopedic emergency department of No. 2 People’s Hospital of Yibin City with persistent pain following a right knee injury sustained during a sprint race. Her knee was swollen and tender, and the range of motion was restricted by the pain. X-ray and computed tomography revealed a Hoffa fracture in the right knee. After consultation, surgical treatment was performed, and the fracture was fixed with three 3.5-mm cannulated cancellous screws; osteochondral plugs that were harvested from the screw insertion site were re-implanted to cover the screw head. The patient’s fracture and osteochondral plug healed 6 mo postoperatively, and she presented a knee range of motion of 0–135 without pain, and was walking without support with a normal gait. CONCLUSION Here, we describe an innovative surgical procedure for Hoffa fracture that could provide a new possibility for the treatment of similar fractures, and further improve their management.

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Section: Discussionmentioning

confidence: 99%

Hoffa’s fracture in an adolescent treated with an innovative surgical procedure: A case report

Jiang¹,

Wang²,

Ye³

et al. 2022

WJCC

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“…In our case, a CT scan was not performed on the injured knee due to difficulty in evaluating the fracture, thick cartilage of the distal femoral epiphysis and the patient’s immature skeleton[ 1 , 3 , 4 ]. Avoiding CT exams can also prevent greater radiation exposure during CT scans than X-rays[ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Hoffa's fracture in a five-year-old child diagnosed and treated with the assistance of arthroscopy: A case report

Chen¹,

Wang²,

Wang³

et al. 2022

World J Clin Cases

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BACKGROUND Hoffa's fracture is a coronal-oriented fracture of the femoral condyle. It is rarely observed in pediatric patients that isolated coronal fracture of the medial femoral condyle accompanies an intact lateral femoral condyle. Only a few cases involving Hoffa's fracture of the medial femoral condyle have been reported in patients with undeveloped skeletons. Such a fracture cannot be observed by routine imaging examinations, thus resulting in possible misdiagnosis and further treatment challenges. CASE SUMMARY A 5-year-old boy with Hoffa's fracture of the medial femoral condyle suffered from right knee pain and severe swelling after being hit by a heavy object. The patient was misdiagnosed and initially treated in a local primary healthcare center. No improvement in his right knee’s extension was observed following conservative treatment for 2 wk. The patient was transferred to our hospital, re-diagnosed using arthroscopy, and underwent open reduction and internal fixation. The therapeutic outcome was satisfactory with the screws removed 7 mo after fixation. At the final follow-up of 40 mo, the range of motion in the knee had recovered. There was no varus-valgus instability. CONCLUSION Hoffa's fracture is rarely seen in children aged 5 years, let alone in the medial condyle, and can easily be misdiagnosed due to limited physical and imaging examinations. Suspected Hoffa's fracture in preschool children should be confirmed based on arthroscopic findings. Open reduction and internal fixation should be performed to protect the articular surface and prevent long-term complications.

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“…The aim of the treatment of these fractures is to reduce the fracture anatomically and provide stable fixation for an early mobilization. This can be achieved either conservatively or surgically; however, the former generally brings about poor outcomes associated with malunion, non-union, and avascular necrosis [ 1 , 10 ]. Open reduction and internal fixation is are the choice for both displaced and undisplaced fracture.…”

Section: Discussionmentioning

confidence: 99%

“…Coronal fracture of distal femur are is uncommon in adults and indeed rarer in children [ 1 ]. Fractures involving femoral condyles in coronal plane are referred as Hoffa fractures [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Exchange Nailing as Revision Surgery for Post-operative Non-union of Atypical Femoral Fractures: A Case Report and Treatment Strategy

Ranjan¹,

Kumar²,

Jeyaraman³

et al. 2021

JOCR

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Introduction: Atypical femoral fractures account for only 0.5% of femoral shaft fractures, but delayed union or non-union occurs in 50% of atypical femoral fractures accompanied by femoral lateral bowing. Such fractures are difficult to treat. Case Report: The case was an 84-year-old woman. She was diagnosed post-operative non-union of atypical femoral fracture. We planned a revision surgery for post-operative non-union of the atypical proximal femoral fracture. A two-dimensional template was used to simulate the intramedullary nail (IMN). Due to the advanced femoral lateral bowing deformity, a mismatch with the nail was noted when the unaffected femur was used to construct the template. When the opposite side nail was used as a template, the nail was aligned with the medullary canal, and the tip of the nail coincided with the center of the medullary canal; hence, the opposite side nail was chosen. Radiographical assessments of healing of the fracture confirmed callus formation and complete bone union 3 months and 1 year after the operation, respectively. Conclusion: We found that exchange nailing as revision surgery for post-operative non-union of atypical femoral fractures combined with an IMN on the opposite side was useful. Keywords: Alendronate, femoral fracture, osteoporosis, revision surgery.

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Paediatric conjoint bicondylar Hoffa fracture with patellar tendon injury: An unusual pattern of injury

Cited by 6 publications

References 12 publications

Hoffa’s fracture in an adolescent treated with an innovative surgical procedure: A case report

Hoffa’s fracture in an adolescent treated with an innovative surgical procedure: A case report

Hoffa's fracture in a five-year-old child diagnosed and treated with the assistance of arthroscopy: A case report

Exchange Nailing as Revision Surgery for Post-operative Non-union of Atypical Femoral Fractures: A Case Report and Treatment Strategy

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