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A new fixation method for Hoffa fracture

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European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

Abstract

Purpose

To investigate the clinical effect of a new fixation method for Hoffa fractures.

Methods

We treated eleven patients with Hoffa fracture using the new fixation method (fixation with one screw inserted from the femoral intercondylar notch and two screws inserted from the nonarticular lateral (or medial) surface of the fractured condylar fragment; the two sets of screws were crossed).

Results

After an average follow-up period of 24 months (range 5–28 months), all fractures had healed. The average healing time was 11.6 weeks (range 9–14 weeks). On the version of the Knee Society Score modified by Dr. John Insall in 1993, the average score was 174.6 points (range 125–199 points).

Conclusions

The new fixation method for Hoffa fracture is effective, and may provide a new way to treat Hoffa fractures.

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References

  1. Borse V, Hahnel J, Cohen A. Hoffa fracture: fixation using headless compression screws. Eur J Trauma Emerg Surg. 2010;36(5):477–9.

    Article  Google Scholar 

  2. Letenneur J, Labour PE, Rogez JM, Liqnon J, Bainvel JV. Hoffa’s fracture: report of 20 cases. Ann Chir. 1978;32(3):213–9.

    PubMed  CAS  Google Scholar 

  3. Lewis SL, Pozo JL, Muirhead-Allwood WFG. Coronal fracture of the lateral femoral condyle. J Bone Joint Surg [Br]. 1989;71:118–20.

    CAS  Google Scholar 

  4. Friedman RL, Glisson RR, Nunley JA 2nd. A biomechanical comparative analysis of two techniques for tibiotalar arthrodesis. Foot Ankle Int. 1994;15(6):301–5.

    PubMed  CAS  Google Scholar 

  5. Becker P, Stafford PR, Goulet R, Nowotarski P. Comparative analysis for the fixation of coronal distal intraarticular femur fractures. Presented at: 67th Annual Meeting of the American Academy of Orthopaedic Surgeons, 2000 March 15–19, Orlando, FL, USA.

  6. Jarit GJ, Kummer FJ, Gibber MJ, Egol KA. 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(4):273–6.

    Article  PubMed  Google Scholar 

  7. McCarthy JJ, Parker RD. Arthroscopic reduction and internal fixation of a displaced intraarticular lateral femoral condyle fracture of the knee. Arthroscopy. 1996;12(2):224–7.

    Article  PubMed  CAS  Google Scholar 

  8. Medvecky MJ, Noyes FR. Surgical approaches to the posteromedial and posterolateral aspects of the knee. J Am Acad Orthop Surg. 2005;13(2):121–8.

    PubMed  Google Scholar 

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Conflict of interest

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Authors and Affiliations

  1. Department of Orthopaedics, The First Affiliated Hospital of Huzhou Teachers College, Huzhou, 313000, Zhejiang, China

    Y. Xu, H. Li & H.-H. Yang

Authors
  1. Y. Xu
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  2. H. Li
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  3. H.-H. Yang
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Corresponding author

Correspondence to H.-H. Yang.

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Xu, Y., Li, H. & Yang, HH. A new fixation method for Hoffa fracture. Eur J Trauma Emerg Surg 39, 87–91 (2013). https://doi.org/10.1007/s00068-012-0238-2

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  • DOI: https://doi.org/10.1007/s00068-012-0238-2

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