Top

BMC Surgery

Published in:

Open Access 01-12-2022 | Femoral Fracture | Research

Treatment of the Hoffa fracture of the lateral femoral condyle with cannulated screws in combination with an anti-gliding steel plate, a retrospective observational study

Authors: Chunfu Huang, Zuchang Fu, Qingkeng Wang, Ruijin You, Feng Zhao

Published in: BMC Surgery | Issue 1/2022

Abstract

Background

The stability of the Hoffa fracture fixed with a cannulated screw is limited. In the present work, we adopted two cannulated screws from anterior to posterior and posteriorly anti-gliding plate to treat 12 cases with Hoffa fracture of the lateral femoral condyle.

Methods

Open reduction and internal fixation were performed in 12 patients with Hoffa fractures of the lateral femoral condyle. The Hoffa fracture end was fixed with an anti-gliding steel plate based on cannulated screw fixation in the rear of the distal femur. All patients were followed for 12–24 months, with a median of 15.3 ± 4.6 months.

Results

All fractures were bony union, with a healing time of 3–6 months (median, 4.5 months). The Letenneur evaluation system was used to assess efficacy. Four indexes were observed, including knee range of motion (ROM), stability, pain, and dependent ambulation. The results revealed that eight cases were excellent and four cases good, with a good rate of 100%.

Conclusion

The surgical treatment with cannulated screws in combination with an anti-gliding steel plate could fix the end of the Hoffa fracture, which could acquire strong internal fixation and a good curative effect.

Patel PB, Tejwani NC. The Hoffa fracture: coronal fracture of the femoral condyle a review of literature. J Orthopaed. 2018;15(2):726–31. https://doi.org/10.1016/j.jor.2018.05.027.CrossRef

Pathak S, Salunke A, Karn S, Ratna HVK, Thivari PS, Sharma S, et al. Hoffa’s fracture with associated injuries around the knee joint: an approach to a rare injury. Cureus. 2020;12(4):e7865. https://doi.org/10.7759/cureus.7865.CrossRefPubMedPubMedCentral

Huang G, Zhang M, Zhang Y, Wang X, Zhang M, Liu G. Hoffa fracture combined with rotational dislocation of the knee joint: a novel case report. Medicine. 2021;100(14):e25253. https://doi.org/10.1097/MD.0000000000025253.CrossRefPubMedPubMedCentral

Bagaria V, Sharma G, Waghchoure C, Chandak RM, Nemade A, Tadepelli K, et al. A proposed radiological classification system of Hoffa’s fracture based on fracture configuration and consequent optimal treatment strategy along with the review of literature. SICOT-J. 2019;5:18. https://doi.org/10.1051/sicotj/2019016.CrossRefPubMedPubMedCentral

Gavaskar AS, Tummala NC, Krishnamurthy M. Operative management of Hoffa fractures—a prospective review of 18 patients. Injury. 2011;42(12):1495–8. https://doi.org/10.1016/j.injury.2011.09.005.CrossRefPubMed

White EA, Matcuk GR, Schein A, Skalski M, Maracek GS, Forrester DM, et al. Coronal plane fracture of the femoral condyles: anatomy, injury patterns, and approach to management of the Hoffa fragment. Skelet Radiol. 2015;44(1):37–43. https://doi.org/10.1007/s00256-014-2015-2.CrossRef

Jain A, Aggarwal P, Pankaj A. Concomitant ipsilateral proximal tibia and femoral Hoffa fractures. Acta Orthop Traumatol Turc. 2014;48(4):383–7. https://doi.org/10.3944/AOTT.2014.13.0154.CrossRefPubMed

Wang SH, Lin HJ, Shen HC, Pan RY, Yang JJ. Biomechanical comparison between solid and cannulated intramedullary devices for midshaft clavicle fixation. MC Musculoskelet Disord. 2019;20(1):1–7. https://doi.org/10.1186/s12891-019-2560-x.CrossRef

Title: Treatment of the Hoffa fracture of the lateral femoral condyle with cannulated screws in combination with an anti-gliding steel plate, a retrospective observational study
Authors: Chunfu Huang
Zuchang Fu
Qingkeng Wang
Ruijin You
Feng Zhao
Publication date: 01-12-2022
Publisher: BioMed Central
Keyword: Femoral Fracture
Published in: BMC Surgery / Issue 1/2022
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-022-01803-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Treatment of the Hoffa fracture of the lateral femoral condyle with cannulated screws in combination with an anti-gliding steel plate, a retrospective observational study

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2022

Analysis of the therapeutic effect of artificial leather embedding combined with fascial sleeve flap transplantation on chronic wounds of lower limbs with bone and plate exposure

A laparoscopic radical inguinal lymphadenectomy approach partly preserving great saphenous vein branches can benefit for patients with penile carcinoma

Severe pre-operative sinus bradycardia improved by mediastinal lymph node dissection

Ileal ureteral replacement for the management of ureteral avulsion during ureteroscopic lithotripsy: a case series

Does Garden type I incomplete femoral neck fracture really exist in older adults? To evaluate the stability and consistency of Garden classification

Productivity in relation to organization of a surgical department: a retrospective observational study