J Knee Surg 2010; 23(1): 021-024
DOI: 10.1055/s-0030-1262319
© Thieme Medical Publishers

Bicondylar Hoffa Fracture: Open Reduction Internal Fixation Using the Swashbuckler Approach

Aman Dua1 , Prasoon K. Shamshery2
  • 1Department of Orthopaedics, Punjab Institute of Medical Sciences, Jalandhar, Punjab, India
  • 2Department of Orthopaedics, Sahara Hospital, Lucknow, Uttar Pradesh, India
Further Information

Publication History

Publication Date:
15 July 2010 (online)

ABSTRACT

Coronal plane fractures of the femoral condyle are infrequent injuries and are often missed. Unilateral bicondylar coronal plane fractures are even rarer, with only eight reported cases in scientific literature, and are often associated with other injuries. We present here a case of unilateral bicondylar Hoffa fracture that presented in our emergency department and was managed with open reduction and internal fixation by lateral parapatellar arthrotomy using the swashbuckler approach with satisfactory results.

REFERENCES

  • 1 Hoffa A. Lehrbuch der Frankturen und Luxationen. Stuttgart; Ferdinand Enke-Verlag 1904: 453
  • 2 Lewis S L, Pozo J L, Muirhead-Allwood W F. Coronal fractures of the lateral femoral condyle.  J Bone Joint Surg Br. 1989;  71 118-120
  • 3 Calmet J, Mellado J M, García Forcada I L, Giné J. Open bicondylar Hoffa fracture associated with extensor mechanism injury.  J Orthop Trauma. 2004;  18 323-325
  • 4 Neogi D S, Singh S, Yadav C S, Khan S A. Bicondylar Hoffa fracture—a rarely occurring, commonly missed injury.  Injury Extra. 2008;  39 296-298
  • 5 Papadopoulos A X, Panagopoulos A, Karageorgos A, Tyllianakis M. Operative treatment of unilateral bicondylar Hoffa fractures.  J Orthop Trauma. 2004;  18 119-122
  • 6 Zeebregts C J, Zimmerman K W, ten Duis H J. Operative treatment of a unilateral bicondylar fracture of the femur.  Acta Chir Belg. 2000;  100 104-106
  • 7 Starr A J, Jones A L, Reinert C M. The “swashbuckler”: a modified anterior approach for fractures of the distal femur.  J Orthop Trauma. 1999;  13 138-140
  • 8 Muller M E, Nazarian S, Koch P et al.. The AO Classification of Fractures. Berlin; Springer 1990
  • 9 Allmann K H, Altehoefer C, Wildanger G et al.. Hoffa fracture—a radiologic diagnostic approach.  J Belge Radiol. 1996;  79 201-202
  • 10 Letenneur J, Labour P E, Rogez J M, Lignon J, Bainvel J V. [Hoffa's fractures. Report of 20 cases (author's transl.)].  Ann Chir. 1978;  32 213-219
  • 11 Ostermann P A, Neumann K, Ekkernkamp A, Muhr G. Long term results of unicondylar fractures of the femur.  J Orthop Trauma. 1994;  8 142-146
  • 12 Jarit G J, Kummer F J, Gibber M J, Egol K A. A mechanical evaluation of two fixation methods using cancellous screws for coronal fractures of the lateral condyle of the distal femur (OTA type 33B).  J Orthop Trauma. 2006;  20 273-276
  • 13 Becker P L, Staford P R, Goulet R et al.. Comparative analysis for the fixation of coronal distal intraarticular femur fractures. Presented at: 67th annual meeting of the American Academy of Orthopaedic Surgeons, Orlando, Florida; March 15–19, 2000
  • 14 Agarwal S, Giannoudis P V, Smith R M. Cruciate fracture of the distal femur: the double Hoffa fracture.  Injury. 2004;  35 828-830
  • 15 Liebergall M, Wilber J H, Mosheiff R, Segal D. Gerdy's tubercle osteotomy for the treatment of coronal fractures of the lateral femoral condyle.  J Orthop Trauma. 2000;  14 214-215

Aman DuaM.S. D.N.B. 

Department of Orthopaedics, Punjab Institute of Medical Sciences

5693, Lane #6, New Shivaji Nagar, Ludhiana, Punjab 141008, India

Email: dramandua@gmail.com

    >