The Functional and Radiological Outcome of Hoffa's Fracture Treated With Cannulated Cancellous Screws

Kurahatti, Ajay; Seenappa, Hariprasad; Shanthappa, Arun H; Nagakumar, J S

doi:10.7759/cureus.23829

Cited by 3 publications

(3 citation statements)

References 19 publications

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Section: Resultsmentioning

confidence: 99%

“…[6,15,16,25,37,41] This rational approach that combines anatomic reduction, joint surface restoration, stable fixation, and early joint mobilization is critical for achieving a satisfactory outcome. [8,9,42] Traditionally, coronal plane fractures of the distal femur are treated with screws alone (depending on the fragment size) or associated with posterior buttressing plates. [7,15,32] Usually, screw directions are perpendicular to the fracture line in the coronal plane and along the longest axis of the femoral condyle.…”

Section: Diagnosis and Treatmentmentioning

confidence: 99%

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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: Resultsmentioning

confidence: 99%

Section: Diagnosis and Treatmentmentioning

confidence: 99%

Busch-Hoffa fracture: A systematic review

Rabelo,

Pires,

Las Casas

et al. 2023

Medicine

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“…A least 2–3.5-mm-diameter screws are required to prevent rotational instability [ 10 ]. Screws placed from anterior to posterior cause minimal soft-tissue dissection, while biomechanically, posteroanterior screw has an advantage when the load is directed vertically [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral Hoffa Fractures of the Medial Femoral Condyles: A Case Report and Review of the Literature

Kouzelis,

Argyropoulou,

Stavros

et al. 2023

jocr

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Introduction: Intra-articular distal femoral fractures in the coronal plane, widely described as Hoffa fractures, are a rare entity. Lateral femoral condyles are mostly affected, while diagnosis can be challenging. Bilateral medial femoral condyle fractures are exceedingly scarce, with only one case being published in recent literature. Case Report: We present a case of a white 65-year-old man with bilateral medial femoral condyle Hoffa fractures caused by a crush injury. The patient was treated operatively by two different teams operating simultaneously on both sides, with good clinical and radiological outcomes after a follow-up period of 3 months. Conclusion: A literature review was conducted to analyze the potential mechanism of injury, diagnostic methods, and therapeutic approach. Bilateral medial Hoffa fractures are rare injuries concerning the orthopedic trauma field and this is the first case described, that was treated operatively with good functional outcomes. Keywords: Hoffa fractures, distal femur fractures, bilateral medial condyles, trauma.

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