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Case Reports
. 2021 Feb 20:32:100443.
doi: 10.1016/j.tcr.2021.100443. eCollection 2021 Apr.

Reverse contralateral proximal tibial plating and cannulated screws fixation for Hoffa fracture: A case report

Zhao-Hua Liu  1 , Ting Wang  1 , Christian Fang  1   2 , Tak-Man Wong  1   2 , Li-Liang Lin  1 , Xuan Wang  1 , Frankie Leung  1   2
Affiliations
Case Reports

Reverse contralateral proximal tibial plating and cannulated screws fixation for Hoffa fracture: A case report

Zhao-Hua Liu et al. Trauma Case Rep. .

Erratum in

Abstract

Hoffa fracture is a rare type of distal femoral fracture occurs in the coronal plane of either femoral epicondyle. To date, screws in combination with lateral plate fixation is widely accepted to achieve stable fixation and good results. However, up to now there has not been a specially designed anatomical plate for lateral fixation of Hoffa fracture. In this report, we demonstrate a case of Hoffa fracture fixed with reverse application of "L" shaped contralateral proximal tibia plate and cannulated screws, resulting in good one-year results.

Keywords: Hoffa fracture; Internal fixation; Open reduction; Reverse contralateral proximal tibia plate.

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Figures

Fig. 1
Fig. 1
a. Sagittal and axial CT views of the fracture b. Three-dimensional reconstruction showing the Hoffa fragment with articular comminution.
Fig. 2
Fig. 2
Pre-operative planning of contralateral proximal tibial plating for Hoffa fracture. a & b: right lateral proximal tibia plate; c & d: left lateral femur condyle.
Fig. 3
Fig. 3
a. Intra-operative photo showed lateral approach, and plate fixation of Hoffa fracture. The soft tissue attachment to the fragment is preserved under the plate. b. Three days post-operative radiograph showed anatomical reduction and L plate plus cannulated screw fixation for Hoffa fracture.
Fig. 4
Fig. 4
a. 1-year post-operative X-ray and CT images of left femoral Hoffa fracture shows complete union. b. Three-dimensional model of 1-year post-operative CT of left femur Hoffa fracture. c. Clinical photo of patient 1-year after surgery show left knee ROM extension-flexion 0–100°.
See this image and copyright information in PMC

References

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