The Hoffa fracture: Coronal fracture of the femoral condyle a review of literature

Abstract

This article aims to provide a systematic review of the limited literature and clinical knowledgebase available on the Hoffa fractures. It is inclusive of the normal anatomy, pathology, diagnosis, treatment options comprising of non-operative and operative protocols, and postoperative findings.

A Novel Technique for Fixation of Non-union Unicondylar Hoffa’s Fracture: A Case Report

“…The specific mechanism of injury that produces Hoffa fracture is unknown, but suggested mechanism involves axial load to the lateral femoral condyle with the knee in 90 o or more of flexion produces posterior tangential fracture patterns 1 . In Hoffa fracture, non-operative management is unpredictable due to high shear forces acting tangentially along the fracture plane due to gastrocnemius pull and often leads to unsatisfactory results and non-union 4 .…”

“…It is difficult to manipulate the fragment arthroscopically and obviates the chance of bone grafting at a non-union site, which is essential in its management 2 . Patel and Tejwani 1 published a review describing various techniques and methods used to manage the Hoffa fracture. These not only includes (medial and lateral parapatellar) approaches but describes different types of implants used ranging from cannulated screws, fragment screws to LISS-DF (Less invasive stabilisation system - distal femur).…”

“…Hoffa fracture is coronal plane fractures of the femoral condyle 1 . They can be unicondylar or even rare bicondylar type of fracture.…”

“…They can be unicondylar or even rare bicondylar type of fracture. Being an intraarticular fracture, their management requires anatomical reduction and rigid fixation 1 . They give satisfactory results with surgical treatment, and the results of conservative management are poor 2 .…”

Arthroscopic Management of Articular Hoffa Fracture: A Case Report

“…Unicondylar fractures represent approximately 3% and Hoffa fractures are even unusual with difficult management. These joint fractures require anatomical reduction with stable osteo synthesis allowing early rehabilitation (1,2). The arthroscopic reduction with percutaneous osteosynthesis of Hoffa fractures has the advantages of being a minimally invasive technique with minimal morbidity.…”