The Hoffa fracture is an uncommon fracture. There is a lot of confusion about its diagnosis and management with several conflicting reports in literature. We reported a 25-year-old patient with non-union of Hoffa fracture, and meanwhile tried to develop an algorithm-based treatment for Hoffa fractures. A systematic review of the available literature was performed. Medline, Embase, the Cochrane Library and PubMed were searched for relevant articles. Fifty-five articles were reviewed, and the clinical knowledge base was summarized. The understanding of the mechanism of trauma has become more nuanced. The literature has also evolved to classify the fracture with the purpose of surgical management in mind. This can be used to plan approach and fixation with preservation of blood supply. Classification can also prognosticate the outcomes in Hoffa fracture.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9458991 | PMC |
http://dx.doi.org/10.1016/j.cjtee.2022.01.002 | DOI Listing |
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.
Eur J Orthop Surg Traumatol
December 2024
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.
Methods: We conducted a case series involving seven patients with Hoffa fracture complications, including four cases of malunion and three cases of nonunion. Each patient underwent individualized surgical treatment, depending on the nature of their complication.
Indian J Orthop
December 2024
Department of Orthopaedics, Paras HMRI Hospital, Patna, Bihar 800014 India.
J Orthop Case Rep
October 2024
Main Line Orthopaedics and Spine, Lankenau Medical Center, Wynnewood, Pennsylvania.
SAGE Open Med Case Rep
September 2024
Department of Anatomical, Histological, Forensic Medicine and Orthopedics Sciences, "Sapienza" University of Rome, Rome, Italy.
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