The coronal fractures of femoral condyles, known as Hoffa fractures, are a rarity. Conservative management often leads to unsatisfactory results and nonunion. In this study, we present a case of a 35-year-old patient with an established nonunion of medial Hoffa fracture of right knee treated with open reduction and internal fixation.
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Two types of cannulated screw fixation based on Letenneur classification for the treatment of Hoffa fracture: A finite element analysis.
J Orthop Sci
January 2025
Department of Orthopedics, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116011, China. Electronic address:
Purpose: A finite element analysis was performed to simulate the biomechanical differences between anterior-posterior (AP) direction and posterior-anterior (PA) direction placement of two cannulated screws in Hoffa fractures.
Methods: Computed tomography images of an healthy male volunteer were used to simulate Letenneur Ⅰ, Ⅱa, Ⅱb, Ⅱc, Ⅲ Hoffa fractures, and two groups of screw internal fixation models were constructed. Two 6.
Hoffa fractures are slower to heal than entire condyle fractures of the distal femur: an analysis of type 33B fractures.
Eur J Orthop Surg Traumatol
December 2024
Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, 301 E 17th St, New York, NY, 10003, USA.
Purpose: To examine patient demographic and clinical outcomes associated with partial articular distal femoral fractures.
Methods: An IRB-approved study was conducted on a consecutive series of patients being treated for isolated partial articular distal femoral fractures at a single academic medical center between August, 2011 and July, 2023. Patient demographics, hospital quality measures and outcomes for each patient were reviewed.
Optimizing management strategies for malunion and nonunion of Hoffa fractures: a detailed case series with a proposed treatment algorithm.
Eur J Orthop Surg Traumatol
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Hospital Municipal Miguel Couto, Rio de Janeiro, Brazil.
Purpose: This study aims to refine management strategies for malunion and nonunion of Hoffa fractures, as these rare complications present significant clinical challenges.
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Outcomes of Surgical Management of Late Presenting Intra-Articular Distal Femoral Physeal Fracture: A Multicentric Retrospective Case Series.
Indian J Orthop
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Department of Orthopaedics, Paras HMRI Hospital, Patna, Bihar 800014 India.
Article Synopsis
- The study examines the outcomes of surgical treatment for rare distal femur physeal fractures in children, specifically focusing on Hoffa fractures.
- It involved six pediatric patients, with five receiving surgical intervention and one managed conservatively, showing improvements in knee range of motion post-surgery.
- Findings indicate that surgical intervention can provide favorable results, but further follow-up is needed to assess long-term outcomes as patients grow.
Intra-articular Knee Neurofibroma in a Patient with Neurofibromatosis: A Case Report and Review of Literature.
J Orthop Case Rep
October 2024
Main Line Orthopaedics and Spine, Lankenau Medical Center, Wynnewood, Pennsylvania.
Article Synopsis
- * A case involving a 65-year-old female NF1 patient revealed an intra-articular neurofibroma during surgery for a femur fracture, leading to difficulty in surgical visualization due to a large mass near the knee joint that connected to Hoffa's fat pad.
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