Nonunion of a Hoffa fracture in an adult

Öztürk, Alpaslan; Özkan, Yüksel; Ozdemir, Recai

doi:10.1007/s12306-009-0045-z

Cited by 15 publications

(25 citation statements)

References 4 publications

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“…Hoffa fracture is well known as an intra-articular coronal fracture of the distal femur, yet it remains one of the most difficult fractures to treat. 11 Conservative management has shown unsatisfactory results and nonunion, 12,13 thus, open reduction with internal fixation is mandatory for good clinical outcomes. 11 Screw fixation is generally accepted as a standard method for treating Hoffa fractures, 11,14 with the internal fixation method undergoing continual improvement.…”

Section: Discussionmentioning

confidence: 99%

Compression screws and buttress plate versus compression screws only for Hoffa fracture in Chinese patients: a comparative study

Zhao

Luo

et al. 2018

J Int Med Res

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Objective To compare compression screws and buttress plate (CS plus BP) with compression screws only (CS) in treating patients with Hoffa fracture. Methods This retrospective study included Chinese patients with Hoffa fracture treated by open reduction and internal fixation. Radiographs and clinical outcomes (range of movement [ROM], bone union and Knee Society Score [KSS]) were compared between patients treated using CS plus BP versus CS only. Results At 4 months following surgery, significantly better outcomes were shown in the CS plus BP group ( n = 24) versus CS only group ( n = 21) regarding ROM (120.4 ± 5.2° versus 110 ± 7.1°) and KSS (85.5 ± 4.1 versus 79.7 ± 3.3). At the 12-month follow-up, significantly better outcomes were maintained in the CS plus BP versus CS only group regarding ROM (126.2 ± 7.4° versus 120.5 ± 8.2°) and KSS (88.3 ± 4.6 versus 84.2 ± 4.0). At the final follow-up, all patients had normal fracture healing and no malunion, nonunion or reduction loss. Conclusions Fixation with CS plus BP for Hoffa fracture is effective and reliable, and may provide more adequate stability and better outcomes versus CS only.

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Section: Discussionmentioning

confidence: 99%

Compression screws and buttress plate versus compression screws only for Hoffa fracture in Chinese patients: a comparative study

Zhao

Luo

et al. 2018

J Int Med Res

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“…Only a few reports have reported on Hoffa nonunions, and none of them mentioned the diagnostic difficulties with these injuries. [8][9][10] In neglected Hoffa fractures despite nonunion, there is a risk of overlooking accompanying ligamentous and intra-articular injuries. These nonunions are complex injuries; movement of the fragment makes it difficult to distinguish meniscal and ligamentous injuries with physical examination.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Treatment of Medial Femoral Condylar Coronal Fractures and Nonunions

Erçin

Bilgili

Başaran

et al. 2013

Arthroscopy Techniques

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Nonunion of medial femoral condylar coronal fractures are uncommon. In neglected Hoffa fractures despite nonunion, there is a risk of missing accompanying ligamentous and intra-articular injuries. Neither preoperative clinical examination nor magnetic resonance imaging showed these injuries before arthroscopy. Arthroscopy before internal fixation gives additional information and changes the surgical protocol for these fractures and nonunions.

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“…Therefore, when conservative treatment is chosen, immobilizing the knee in hyperextension might be advisable. [2][3][4][5][6][7][8]10 Other complications are avascular necrosis or secondary displacement. Secondary displacement might be due to muscle contraction and soft tissue atrophy because of immobilization, especially in type I and III fractures, where the gastrocnemius insertion can pull the fragment into flexion and away from the femoral shaft.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous case series describing the operative treatment of Hoffa fractures have been reported. [2][3][4][5][6][7][8] A nonunion of a Hoffa fracture is even more rare. The purpose of this report is to describe two cases of nonunion of a Hoffa fracture that were successfully treated with headless compression screws and bone grafting.…”

mentioning

confidence: 99%

Hoffa Nonunion, Two Cases Treated with Headless Compression Screws

Somford¹,

Ooij²,

Schafroth³

et al. 2012

J Knee Surg

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A coronal fracture of the distal femoral condyle is a rare entity and a nonunion even more so. The coronal fractures, also known as Hoffa fracture, more often involve the lateral than the medial condyle. Open reduction and internal fixation are the primary treatment of choice. We describe two cases of nonunion of a Hoffa fracture (one medial and one lateral). Although the nonunion fragment was not attached to any soft tissues in both cases the fragment was noted to be vital both clinically and histologically. After operative treatment, consisting of debridement, compression with use of headless screws, and liberal use of bone graft both nonunions healed. At latest follow-up, both patients had excellent function and reported no or minimal pain.

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Nonunion of a Hoffa fracture in an adult

Cited by 15 publications

References 4 publications

Compression screws and buttress plate versus compression screws only for Hoffa fracture in Chinese patients: a comparative study

Compression screws and buttress plate versus compression screws only for Hoffa fracture in Chinese patients: a comparative study

Arthroscopic Treatment of Medial Femoral Condylar Coronal Fractures and Nonunions

Hoffa Nonunion, Two Cases Treated with Headless Compression Screws

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