The Association Between Supracondylar-Intercondylar Distal Femoral Fractures and Coronal Plane Fractures

Abstract

Coronal plane fractures frequently occurred in association with high-energy supracondylar-intercondylar distal femoral fractures; in the present study, the prevalence of associated coronal plane fractures was 38%. The lateral condyle was involved more frequently than the medial condyle was. Coronal plane fractures of both condyles were observed commonly, and the majority of coronal plane fractures were associated with open wounds. Since the surgical tactic for the treatment of a supracondylar-intercondylar distal femoral fracture may be altered by the additional diagnosis of a coronal plane fracture component, preoperative computerized tomographic scanning of the injured distal part of the femur, particularly when there is an associated open wound, is strongly recommended.

Hoffa fracture, eminentia fracture and posterior cruciate ligament damage: An unusual knee injury

“…3,4 A few cases of Hoffa fractures associated with supracondylar-intercondylar femoral fractures have also been described in the literature. 1,2,8 Our patient had an eminentia fracture with PCL injury in addition to the rarely seen medial Hoffa fracture, which further complicated the damage. In any such unusual pattern of injuries, the diagnosis of additional bone and soft-tissue trauma is important in planning treatment and achieving functionally satisfying results.…”

“…[1][2][3][4][5][6][7][8] Although usually only one condyle is involved, bilateral and unilateral bicondylar Hoffa fractures have been reported. 3,4 A few cases of Hoffa fractures associated with supracondylar-intercondylar femoral fractures have also been described in the literature.…”

“…Hoffa described the injury in 1904 5 as generally involving the lateral femoral condyle, but bicondylar-supracondylar Hoffa fractures and femoral fractures accompanied by Hoffa fractures have been reported. 2,3,8 To our knowledge, the combination of isolated medial condylar Hoffa fracture, eminentia fracture and posterior cruciate ligament (PCL) avulsion has not been documented before. In this report an unusual trauma pattern of a Hoffa fracture accompanied by soft-tissue and bone injury is presented.…”

A novel approach to fix an avulsion fracture of posterior cruciate ligament from the tibia when associated with a type C distal femoral fracture and a Hoffa fracture: a case report

“…Nork et al [1] reported an association of around 38% with supracondylar/intercondylar distal femoral fractures, and among them, 85% of the coronal fractures involved the lateral femoral condyle. Bony avulsion of PCL from the tibia in addition to type C distal femoral fractures with a HoVa fracture of the lateral condyle has not been reported.…”

Il trattamento con placche e viti delle fratture del terzo distale di femore

“…Vengono classificate secondo la classificazione OTA/AO, che risulta utile per stabilire il trattamento e la prognosi. Tali fratture seguono linee di debolezza dovute alla conformazione stessa del terzo distale di femore: la zona di passaggio da diafisi a metafisi, la gola intercondilica sul piano sagittale, il solco trocleo condiloideo, talché spesso sono pluriframmentate; inoltre, l'inserzione a tale livello di componenti muscolari (quadricipite, gastrocnemio, adduttori) rende estremamente difficoltosa la riduzione dei vari frammenti di frattura nei piani ortogonali [2,3]. Il trattamento conservativo è raro e viene riservato a pazienti allettati o con mobilità ridotta in fratture composte o minimamente scomposte [4].…”