CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2014; 04(04): 096-098
DOI: 10.1055/s-0040-1703842
Case Report

UNILATERAL BICONDYLAR HOFFA FRACTURE WITH A FRACTURE SHAFT AND DISLOCATED KNEE AND HIP IN A MIDDLE AGED ADULT: A RARE CASE REPORT

Ashwin Shetty
1  Associate Professor, K.S. Hegde Medical Academy, Nitte University, Mangalore - 575 018, India
,
Mable Kumar Shetty
2  Assistant Professor, K.S. Hegde Medical Academy, Nitte University, Mangalore - 575 018, India
,
Arjun Ballal
3  Postgraduate, K.S. Hegde Medical Academy, Nitte University, Mangalore - 575 018, India
,
Nirmal Babu
4  Senior Resident, K.S. Hegde Medical Academy, Nitte University, Mangalore - 575 018, India
,
Ravindranath Rai
5  Professor & HOD Department Orthopaedic Surgery, K.S. Hegde Medical Academy, Nitte University, Mangalore - 575 018, India
› Author Affiliations

Abstract

Fracture at the distal end of the femur usually occurs in the sagittal plane. Hoffa fracture, i.e., coronal slice fracture of the condyles of the femur, is rare in adults and even rarer in children.

In the case we wish to discuss here presented to our emergency room with an open knee injury due to a road traffic accident. Imaging of the right lower limb revealed an open Gustilo-Anderson type IIIB bicondylar Hoffa fracture with an anterior dislocation of knee with a comminuted patella and a shaft of femur fracture with a posteriorly dislocated hip.

He underwent a successful stabilization and cannulated cancellous screw fixation of the Hoffa fracture and fixation of other injuries.



Publication History

Publication Date:
26 April 2020 (online)

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Hitesh Lal, Pankaj Bansal, Rahul Khare, and Deepak Mittal, 'Conjoint bicondylar Hoffa fracture in a child': a rare variant treated by minimally invasive approach'. J Orthop Traumatol. Jun 2011; 12(2): 111–114.
  • 2 Hoffa A. Lehrbuch der Frakturen und Luxationen. Stuttgart: Verlag von Ferdinand Enke; 1904. p. 451.
  • 3 Calmet J, Mellado JM, Garci´a Forcada IL, Gine´J (2004) Open bicondylar Hoffa fracture associated with extensor mechanism injury. J Orthop Trauma 18(5):323–325.
  • 4 Letenneur J, Labour PE, Rogez JM, Lignon J, Bainvel JV (1978) Fractures de Hoffa: a propos de 20 observations. Ann Chir (Paris) 32(3–4): 213–219.
  • 5 Wallenbock E, Ledinski C (1993) Indications and limits of arthroscopic management of intraarticular fractures of the knee joint. Aktuelle Traumatol 23(2):97–101.
  • 6 Rehan Ul Haq, Prashant Modi, IK Dhammi, Anil K Jain, Puneet Mishra. 2013. Conjoint bicondylar Hoffa fracture in an adult. Indian journal of Orthopaedics, 47(3):302-306.