A rare case of bicondylar Hoffa fracture associated with ipsilateral tibial spine avulsion and extensor mechanism disruption

Intra-articular coronal fractures （Hoffas fractures） of distal femur are rare. Although bicondylar involvement in these fractures has been reported in the literature in association with high velocity traumata, the occurrence of these fractures involving extensor mechanism rupture and avulsion ofipsi...

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Bibliographic Details
Published in:Chinese journal of traumatology 2011-08, Vol.14 (4), p.253-256
Main Authors: Kamal, Bali, Aditya Krishna, Mootha, Krishnan, Vibhu, Kumar, Vishal, Goni, Vijay, Rawall, Saurabh, Shuang-ming, Song
Format: Article
Language:English
Subjects:
Femoral fracture
Femoral Fractures - surgery
Femur
Fracture fixation
Fracture Fixation, Internal
Fractures, Bone
Humans
internal
Knee
Knee Injuries - surgery
Tibia
Tibial Fractures - surgery
中断
内固定
功能恢复
文献
早期诊断
机制
胫骨
骨折
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Summary:Intra-articular coronal fractures （Hoffas fractures） of distal femur are rare. Although bicondylar involvement in these fractures has been reported in the literature in association with high velocity traumata, the occurrence of these fractures involving extensor mechanism rupture and avulsion ofipsilateral tibial spine is extremely rare. To our acquaintance, such a fracture pattern has not yet been reported in the literature so far. In this article, we report one such case and discuss the importance of early diagnosis and prompt internal fixation in the management of such cases.We believe that these rare combinations of injuries should be treated aggressively by early open reduction and anatomic rigid internal fixation in order to achieve good recovery of function.
ISSN:1008-1275
DOI:10.3760/cma.j.issn.1008-1275.2011.04.012