Posterior buttress plate with locking compression plate for Hoffa fracture

Tetsunaga, Tomonori; Satô, Tôru; Shiota, Naofumi; Yoshida, Masahiro; Mochizuki, Yusuke; Teramoto, Arubi; Okazaki, Yuki; Yamada, Kazuki

doi:10.1007/s00776-013-0410-5

Cited by 24 publications

(15 citation statements)

References 13 publications

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“…1 There have been reported cases where fixation was performed with buttress plates. 2 In our case, the main difficulty arose from the co-existence of significant fragmentation on the metaphysis of the To overcome this difficulty, we used two buttress plates on the medial and lateral sides, more or less parallel to each other. Screws from the medial plate fixed the lateral condyle fragment and vice versa, creating a solid construct with anatomic reduction and compressive fixation in accordance with the AO principles of fixation of intra-articular fractures.…”

Section: Discussionmentioning

confidence: 96%

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Surgical management of complex intra-articular distal femoral and bicondylar Hoffa fracture

Giotikas

Nabergoj

Krkovič

2016

annals

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Bicondylar Hoffa's fractures of distal femur are rare. We report the case of an 18-year-old male who sustained a closed complex fracture of both femoral condyles of the left femur on the sagittal plane (Hoffa fracture), combined with distal metaphyseal fracture. He was treated using parallel plates and interdigitating screws, with our technique based on an extrapolation of the principles of distal humerus fixation. The fracture united clinically and radiologically at 16 weeks. Twelve months postoperatively, the range of movement in the knee was 5°-115°. In this complex case, our technique provided stable fixation of the fragments and a satisfactory final functional outcome.

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Section: Discussionmentioning

confidence: 96%

“…Fixation with a buttress plate has also been reported. 2 We report on the treatment of Hoffa fractures of both condyles with parallel plates and interdigitated screws, analogous to the concept of architectural arch reconstruction. 3 At the time of writing, we are not aware of any similar report.…”

mentioning

confidence: 99%

Surgical management of complex intra-articular distal femoral and bicondylar Hoffa fracture

Giotikas

Nabergoj

Krkovič

2016

annals

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“…However, posterior plate placement is technically challenging. 7 Jarit et al in a biomechanical study showed that placement of screws in a posteroanterior direction gives more stability. 8 However, in the clinical setting, it is difficult to put screws in a posteroanterior configuration.…”

Section: Discussionmentioning

confidence: 98%

Reconstructive osteotomy for a malunited medial Hoffa fracture – A feasible salvage option

Sasidharan¹,

Shetty²,

Philip³

et al. 2016

Journal of Orthopaedics

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A 35-year-old male presented with pain and restriction of movements of right knee of 9 months duration. He underwent open reduction and internal fixation for a coronal plane fracture of medial femoral condyle (Hoffa fracture) in another facility 9 months back. Radiological evaluation showed a malunited isolated medial Hoffa fracture. We did an intraarticular osteotomy as a salvage treatment and got a reasonable outcome. This case report analyses the difficulties in the management of this inherently unstable fracture pattern and the technique of intraarticular osteotomy.

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“…It is generally accepted that screw fixation is a good fixation method for treating Hoffa fractures [ 7 , 9 ]. Tetsunaga et al applied a technique of placing a posterior buttress plate with a lateral compression plate to enhance the stability of the Hoffa fracture [ 16 ]. Nandy et al described a sandwich technique using an interposition bone graft, a lag screw, and a neutralization plate for a non-union medial Hoffa fracture, and they obtained a good functional outcome [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Sasidharan et al suggested that weight-bearing walking should be delayed for two months to allow fracture consolidation [ 4 ]. The fact that lag screws alone cannot counteract the biplanar deforming forces on the construct should be considered [ 4 , 16 , 19 ]. Therefore, we made immobilization in a cylinder cast for two weeks compulsory postoperatively, and patients were allowed to bear weight as tolerated after two months.…”

Section: Discussionmentioning

confidence: 99%

Corrective Osteotomy for Coronal Plane Malunion of the Medial Femoral Condyle

Ozan

Okur

Ünlü

et al. 2018

Cureus

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Medial femoral condyle malunion in the coronal plane is a very rare injury. In this presented case, we performed intra-articular corrective osteotomy for a malunited medial femoral condyle in the coronal plane of a 22-year-old man and obtained good functional and radiographic results. Corrective osteotomy for a malunited medial Hoffa fracture is technically very challenging, but intra-articular corrective osteotomy for these malunited fractures offers a good outcome and should be considered as a salvage treatment.

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Posterior buttress plate with locking compression plate for Hoffa fracture

Cited by 24 publications

References 13 publications

Surgical management of complex intra-articular distal femoral and bicondylar Hoffa fracture

Surgical management of complex intra-articular distal femoral and bicondylar Hoffa fracture

Reconstructive osteotomy for a malunited medial Hoffa fracture – A feasible salvage option

Corrective Osteotomy for Coronal Plane Malunion of the Medial Femoral Condyle

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