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Case Reports
. 2022 Aug;12(8):75-79.
doi: 10.13107/jocr.2022.v12.i08.2972.

Buttress Plate Assisted Fixation for Bicondylar Hoffa Fracture: A Missed Fracture-case Report with Review of Literature

Noor Alam  1 , Yasir S Siddiqui  1 , Mazhar Abbas  1 , Varun Akshay  1
Affiliations
Case Reports

Buttress Plate Assisted Fixation for Bicondylar Hoffa Fracture: A Missed Fracture-case Report with Review of Literature

Noor Alam et al. J Orthop Case Rep. 2022 Aug.

Abstract

Introduction: Bicondylar Hoffa fractures are extremely uncommon injuries and there have only been a very small number of cases documented in the literature.

Case report: A 28-year-old male presented to emergency department with injury to right knee and leg. X-ray was taken; however, they were not sufficient to determine the precise fracture pattern, so computed tomography scan was done for establishing diagnosis. Fracture managed successfully using compression screws and buttress plate with satisfactory result after a follow-up period of 1 year with ROM 20-120° with no signs of Avascular necrosis or arthritis and we also discussed the appropriate treatment options with supporting literatures.

Conclusion: We conclude by describing a rare case of Bicondylar Hoffa fracture managed by open reduction and internal fixation with cancellous screws and Buttress plating. All cases of unicondylar Hoffa must be evaluated with a high index of suspicion to not miss the cases of Bicondylar Hoffa, which is extremely uncommon injury.

Keywords: Buttress plate; bicondylar hoffa fracture; missed fracture; open reduction.

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Conflict of interest statement

Conflict of Interest: Nil

Figures

Figure 1
Figure 1
X-ray right knee anterior posterior and lateral view showing distal end femur fracture.
Figure 2
Figure 2
X-ray right leg anterior posterior and lateral view – showing spiral fracture right tibia.
Figure 3
Figure 3
Axial NCCT cut showing Bicondylar Hoffa.
Figure 4
Figure 4
Post-operative X-ray right leg anterior posterior and lateral view – spiral fracture right tibia managed with intramedullary nailing at 2 week.
Figure 5
Figure 5
Post-operative X-ray right knee anterior posterior and lateral view: Bicondylar Hoffa fracture managed with buttress plate and screws at 2 week.
Figure 6
Figure 6
X-ray right leg anterior posterior and lateral view – united fracture right tibia managed with intramedullary nailing at 12-month follow-up.
Figure 7
Figure 7
X-ray right knee anterior posterior and lateral view – evidence of fracture union of Bicondylar Hoffa with no evidence of implant breakage, osteoarthritis, or avascular necrosis at 12-month follow-up.
Figure 8
Figure 8
Functional outcome at 12-months postoperatively with ROM 20–120°.
See this image and copyright information in PMC

References

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