Neglected Hoffa Fracture Treated using a Lateral Epicondylar Osteotomy: Case Report
DOI:
https://doi.org/10.48047/Keywords:
Distal femoral fracture; Hoffa fracture; Epicondylar osteotomyAbstract
Hoffa fractures of the femoral condyle are uncommon coronally-oriented injuries which extends through either the medial or lateral condyle. Most commonly affecting the lateral condyle. The usual mechanism of injury is a combination of vertical shearing and twisting forces [1]. We report a displaced intrarticular distal femoral fracture (Hoffa Letenneur Type I fracture) that occurred in a in a 23-year-old patient, when he fell from a bike. Internal fixation using a median parapatellar approach and femoral epicondylar osteotomy was performed. This approach affords direct observation and exposure of the posterior lateral femoral condyle and lateral tibial plateau for open management of intraarticular disorders [2]. The fracture could be anatomically reduced and fixed, the recovery was complete and there were no sequela after one year of follow-up.
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References
Papadopoulos AX, Panagopoulos A, Karageorgos A, Tyllianakis M (2004) operative treatment of unilateral bicondylar hoffa fractures. J Orthop
Trauma 18(2): 119-122.
Bowers AL, Huffman GR (2008) Lateral femoral epicondylar osteotomy: an extensile posterolateral knee approach. Clin Orthop Relat Res 466(7): 1671-1677.
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