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Case Reports
. 2011 Jun;12(2):111-4.
doi: 10.1007/s10195-011-0133-3. Epub 2011 Apr 21.

Conjoint bicondylar Hoffa fracture in a child: a rare variant treated by minimally invasive approach

Affiliations
Case Reports

Conjoint bicondylar Hoffa fracture in a child: a rare variant treated by minimally invasive approach

Hitesh Lal et al. J Orthop Traumatol. 2011 Jun.

Abstract

A case of conjoint Hoffa-type fracture in a child is presented. Hoffa fracture, i.e., coronal slice fracture of the condyles of the femur, is rare in adults and even rarer in the pediatric population. To date, no case of conjoint bicondylar Hoffa fracture has been reported in the literature. The presented case was successfully treated by arthroscopically assisted internal fixation.

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Figures

Fig. 1
Fig. 1
Preoperative anteroposterior a and lateral b radiographs of the case. The arrow in the lateral view indicates the fracture line
Fig. 2
Fig. 2
Peroperative arthroscopic panoramic view showing the conjoint bicondylar Hoffa-type fracture. The arrow indicates the connecting bridge between the two hemicondyles
Fig. 3
Fig. 3
Peroperative arthroscopic panoramic view showing provisional reduction of the fracture using two guide wires
Fig. 4
Fig. 4
Anteroposterior a and lateral b radiographs showing the united fracture
Fig. 5
Fig. 5
Final follow-up anteroposterior a and lateral b radiographs, showing anatomical union of the fracture site with no attendant osteoarthritic or avascular changes in the knee joint

References

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