What is a Hoffa fracture?
Hoffa’s fracture is a coronal-oriented fracture of the distal femur with the fracture line extending through the medial condyle, lateral condyle, or bicondylar region [1-3]. This fracture presents commonly as an isolated fracture and, in rare instances, it is associated with other injuries around the knee joint.
How do you fix a broken Hoffa?
Hoffa fracture with cruciate ligament, lateral collateral ligament, or meniscus injuries can be treated with arthroscopic surgery, which has the advantages of minimal invasion, less of an effect on blood supply, early postoperative return to functional exercise, and effective prevention of nonunion and joint stiffness.
Why is it called a Hoffa fracture?
This fracture pattern was initially described by Hoffa in 1904 1 hence the name for this fracture. The Hoffa fracture is an intra-articular fracture of the knee analogous to the capitellum fracture of the elbow 2.
How do you find the surgical approach in a Hoffa fracture?
At present, CT scans with 2D and 3D reconstruction are the gold standard for investigation of Hoffa fractures. Scans can be used to identify the size of the fracture, the fracture plane, and comminution, three characteristics which are crucial for surgical treatment planning.
What does the lateral condyle do?
The lateral condyle is the lateral portion of the upper extremity of tibia. Upper surface of right tibia. (Anterior is at top.) It serves as the insertion for the biceps femoris muscle (small slip).
How is femoral condyle fracture treated?
Femoral medial condyle fracture is a rare fracture. As with any articular injury, anatomical restoration of the joint surface must be obtained, then lag screw fixation is required. In fractures with a vertical fracture line, a buttress plate is necessary to counteract the vertical shear forces.
Where is the lateral condyle?
Where is the lateral condyle located?
tibia
The lateral condyle is the lateral portion of the upper extremity of tibia. Upper surface of right tibia. (Anterior is at top.) It serves as the insertion for the biceps femoris muscle (small slip).
Hoffa Fractures. Partial articular, coronal plane fractures of the posterior part of femoral condyles are called Hoffa fractures. It was first described by Albert Hoffa; a German surgeon in 1904. They are rare and account for less than 1% of distal femoral fractures. In one study on supracondylar intercondylar fractures of distal femur,…
What are the treatment options for Hoffa fracture of the lateral condyle?
Zhao LL, Tong PJ, Xiao LW. Internal fixation with lag screws plus an antigliding plate for the treatment of Hoffa fracture of the lateral femoral condyle. Zhongguo Gu Shang 2016;29:266–9.
What causes irreducible knee dislocation in Hoffa fracture?
[46] Shetty GM, Wang JH, Kim SK, et al. Incarcerated patellar tendon in Hoffa fracture: an unusual cause of irreducible knee dislocation. Knee Surg Sports Traumatol Arthrosc2008;16:378–81.
What is the role of the lateral antiglide plate in Hoffa fracture?
In addition, the lateral antiglide plate can provide stable support, and in combination with autologous bone grafting can promote fracture healing, [38,55,89] which is especially useful for treating old Hoffa fractures.