A case report of the Hoffa fracture and a review of literature.

Chin J Traumatol

SKIMS MC Bemina, Srinagar, 190020, India.

Published: September 2022

AI Article Synopsis

  • The Hoffa fracture is a rare type of fracture that often leads to confusion regarding its diagnosis and treatment, with various conflicting reports.
  • A case study of a 25-year-old patient with non-union of a Hoffa fracture was conducted, alongside a systematic review of related literature from multiple databases.
  • The literature review analyzed 55 articles, enhancing the understanding of the trauma mechanism and leading to a refined classification system that aids in surgical management and predicts outcomes.

Article Abstract

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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9458991PMC
http://dx.doi.org/10.1016/j.cjtee.2022.01.002DOI Listing

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