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

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 pl...

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Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 2016-11, Vol.98 (8), p.e168-e170
Main Authors: Giotikas, D, Nabergoj, M, Krkovic, M
Format: Article
Language:English
Subjects:
Adolescent
Biomechanics
Bone Plates
Bone Screws
Femoral Fractures - diagnostic imaging
Femoral Fractures - surgery
Fracture Fixation, Internal - instrumentation
Fracture Fixation, Internal - methods
Fractures, Multiple - diagnostic imaging
Fractures, Multiple - surgery
Humans
Knee
Male
Online Case Report
Radiography
Skin & tissue grafts
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Summary: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.
ISSN:0035-8843
1478-7083
DOI:10.1308/rcsann.2016.0217