Hoffa’s fracture in an adolescent treated with an innovative surgical procedure: A case report

Jiang, Zu-Xin; Wang, Pan; Ye, Shun-Xin; Xie, Xiaoping; Wang, Chunxiu; Wang, Yue

doi:10.12998/wjcc.v10.i4.1410

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…Sun et al [86] Medial type III * two 4.5-mm cannulated cancellous lag screws AP Arthroscopic Case report Ranjan et al [87] Medial two 4.5 mm partially threaded cannulated cancellous screws PA Medial (not specified) Clinical case and literature review Jiang et al [88] Medial type III* Three 3.5-mm cannulated cancellous screws PA Posteromedial Case report AlKhalife et al [89] Medial Two 4.0 mm partially threaded cancellous screws AP Medial parapatellar Case report Zhang et al [90] Medial type II* Two percutaneous 6.5 mm partially threaded cannulated cancellous screws; 2 compression screws and 2 3.5 mm reconstruction plates PA and AL Parapatellar arthrotomy and medial…”

Section: Pl Medial Subvastus Case Reportmentioning

confidence: 99%

Busch-Hoffa fracture: A systematic review

Rabelo,

Pires,

Las Casas

et al. 2023

Medicine

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Background: Accomplish a thorough review on the existing biomechanical and clinical studies about coronal plane fractures of the distal femur. Methods: We performed an electronic search of PubMed/MEDLINE database from April to June, 2023. The terms for the database search included “Hoffa fractures,” OR “Busch-Hoffa fractures” OR “coronal plane fractures of the distal femur.” Results: The search identified 277 potentially eligible studies. After application of inclusion and exclusion criteria, 113 articles were analyzed in terms of the most important topics related to coronal plane fractures of the distal femur. Conclusion: Lateral coronal plane fractures of the distal femur are more frequent than medial, present a more vertical fracture line, and usually concentrate on the weight bearing zone of the condyle. The Letenneur system is the most used classification method for this fracture pattern. Posterior-to-anterior fixation using isolated lag screws (for osteochondral fragments—Letenneur type 2) or associated with a posterior buttressing plate (when the fracture pattern is amenable for plate fixation—Letenneur types 1 and 3) is biomechanically more efficient than anterior-to-posterior fixation. Anterior-to-posterior fixation using lag screws complemented or not by a plate remains a widely used treatment option due to the surgeons’ familiarity with the anterior approaches and lower risk of iatrogenic neurovascular injuries. There is no consensus in the literature regarding diameter and number of screws for fixation of coronal plane fractures of the distal femur.

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Section: Pl Medial Subvastus Case Reportmentioning

confidence: 99%

Busch-Hoffa fracture: A systematic review

Rabelo,

Pires,

Las Casas

et al. 2023

Medicine

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“…Hoffa's fractures of the lateral femoral condyle are commonly seen, while Hoffa's fractures of the medial femoral condyle are rare, especially in individuals with undeveloped skeletons. The latest case was a 16-year-old girl with Hoffa's fracture of the medial femoral condyle reported by Jiang et al [ 2 ] in 2022. This type of fracture is an intra-articular fracture and is clinically treated under the same principles as a typical intra-articular fracture.…”

Section: Introductionmentioning

confidence: 99%

Hoffa's fracture in a five-year-old child diagnosed and treated with the assistance of arthroscopy: A case report

Chen¹,

Wang²,

Wang³

et al. 2022

World J Clin Cases

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BACKGROUND Hoffa's fracture is a coronal-oriented fracture of the femoral condyle. It is rarely observed in pediatric patients that isolated coronal fracture of the medial femoral condyle accompanies an intact lateral femoral condyle. Only a few cases involving Hoffa's fracture of the medial femoral condyle have been reported in patients with undeveloped skeletons. Such a fracture cannot be observed by routine imaging examinations, thus resulting in possible misdiagnosis and further treatment challenges. CASE SUMMARY A 5-year-old boy with Hoffa's fracture of the medial femoral condyle suffered from right knee pain and severe swelling after being hit by a heavy object. The patient was misdiagnosed and initially treated in a local primary healthcare center. No improvement in his right knee’s extension was observed following conservative treatment for 2 wk. The patient was transferred to our hospital, re-diagnosed using arthroscopy, and underwent open reduction and internal fixation. The therapeutic outcome was satisfactory with the screws removed 7 mo after fixation. At the final follow-up of 40 mo, the range of motion in the knee had recovered. There was no varus-valgus instability. CONCLUSION Hoffa's fracture is rarely seen in children aged 5 years, let alone in the medial condyle, and can easily be misdiagnosed due to limited physical and imaging examinations. Suspected Hoffa's fracture in preschool children should be confirmed based on arthroscopic findings. Open reduction and internal fixation should be performed to protect the articular surface and prevent long-term complications.

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