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. 2016 Jan-Mar;7(1):61-5.
doi: 10.1016/j.jcot.2015.08.005. Epub 2015 Sep 26.

Arthroscopic-assisted fixation of Hoffa fracture: A case report and description of technique

Anshul Goel  1 , Dhananjaya Sabat  2 , Pritam Agrawal  1
Affiliations

Arthroscopic-assisted fixation of Hoffa fracture: A case report and description of technique

Anshul Goel et al. J Clin Orthop Trauma. 2016 Jan-Mar.

Abstract

Medial condyle Hoffa fractures are intra articular injuries, which require prompt anatomical reduction and internal fixation. Arthroscopy-guided fixation of these fractures has also been advocated; the advantages include avoidance of soft tissue dissection, fast recovery and mobilization. We describe a case of a 28-year-old male patient presenting with a 10-day-old medial condylar Hoffa fracture. Skin condition prevented from conventional open reduction and internal fixation; hence, taking note of the urgency of fixation of an intraarticular fracture, arthroscopic-assisted minimally invasive approach was performed with good outcome.

Keywords: Arthroscopy; Coronal condylar fractures of distal femur; Hoffa fracture; Knee articular fractures; Medial Hoffa.

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Figures

Fig. 1
Fig. 1
At presentation, note is made of swelling in knee with large medial scab, hence prompting the surgeons to avoid medial parapatellar approach.
Fig. 2
Fig. 2
Radiograph showing coronal plane Hoffa fracture of the medial femoral condyle.
Fig. 3
Fig. 3
Coronal placed fracture of the medial condyle as seen on arthroscopy.
Fig. 4
Fig. 4
Fracture reduced and confirmed under arthroscopic assistance.
Fig. 5
Fig. 5
Two parallel anterior to posterior 6.5 mm ccs are inserted in a perpendicular direction to the fracture using image intensifier.
Fig. 6
Fig. 6
Condition at 1 week postoperatively: scab is still healing while fracture is already fixed with minimal dissection and scars.
See this image and copyright information in PMC

References

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