Abstract
Objective
The purpose of this article is to provide a review of coronal fractures of the femoral condyles, known as Hoffa fractures. This includes a review of the normal anatomy of the femoral condyles, examples of the injury, and postoperative imaging findings after surgical treatments.
Conclusions
Knowledge of anatomy with related pathology, orthopedic trends, imaging findings, and complications, is important in assessing Hoffa fractures.
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References
Hoffa A. Lehrbuch der Frakturen und Luxationen. 4th ed. Stuttgart: Ferdinand Enke-Verlag; 1904.
Hak DJ, Nguyen J, Curtiss S, Hazelwood S. Coronal fractures of the distal femoral condyle: a biomechanical evaluation of four internal fixation constructs. Injury. 2005;36(9):1103–6.
Iwai T, Hamada M, Miyama T, Shino K. Intra-articular corrective osteotomy for malunited Hoffa fracture: A case report. Sports Med, Arthrosc, Rehabil, Ther Technol: SMARTT. 2012;4(1):28.
Kumar R, Malhotra R. The Hoffa fracture: Three case reports. J Orthop Surg. 2001;9(2):47–51.
Nordqvist A, Petersson C, Redlund-Johnell I. The natural course of lateral clavicle fracture. 15 (11–21) year follow-up of 110 cases. Acta Orthop Scand. 1993;64(1):87–91.
Federlin M, Krifka S, Herpich M, Hiller KA, Schmalz G. Partial ceramic crowns: influence of ceramic thickness, preparation design and luting material on fracture resistance and marginal integrity in vitro. Oper Dent. 2007;32(3):251–60.
Holmes SM, Bomback D, Baumgaertner MR. Coronal fractures of the femoral condyle: a brief report of five cases. J Orthop Trauma. 2004;18(5):316–9.
Lewis SL, Pozo JL, Muirhead-Allwood WF. Coronal fractures of the lateral femoral condyle. J Bone Joint Surg Br. 1989;71(1):118–20.
Nork SE, Segina DN, Aflatoon K, Barei DP, Henley MB, Holt S, et al. The association between supracondylar-intercondylar distal femoral fractures and coronal plane fractures. J Bone Joint Surg Am. 2005;87(3):564–9.
Papadopoulos AX, Panagopoulos A, Karageorgos A, Tyllianakis M. Operative treatment of unilateral bicondylar Hoffa fractures. J Orthop Trauma. 2004;18(2):119–22.
Allmann KH, Altehoefer C, Wildanger G, Gufler H, Uhl M. Seif el Nasr M, et al. Hoffa fracture–a radiologic diagnostic approach. J Belg Radiol. 1996;79(5):201–2.
Baker BJ, Escobedo EM, Nork SE, Henley MB. Hoffa fracture: a common association with high-energy supracondylar fractures of the distal femur. AJR Am J Roentgenol. 2002;178(4):994.
Arastu MH, Kokke MC, Duffy PJ, Korley RE, Buckley RE. Coronal plane partial articular fractures of the distal femoral condyle: Current concepts in management. Bone Joint J. 2013;95-B(9):1165–71.
Letenneur J, Labour PE, Rogez JM, Lignon J, Bainvel JV. Hoffa's fractures. Report of 20 cases (author's transl). Ann Chir. 1978;32(3–4):213–9.
Bali K, Mootha AK, Prabhakar S, Dhillon MS. Isolated Hoffa fracture of the medial femoral condyle in a skeletally immature patient. Bull NYU Hosp Joint Dis. 2011;69(4):335–8.
Mak W, Hunter J, Escobedo E. Hoffa Fracture of the Femoral Condyle. Radiology Case Reports [Online]. 2008; 3:231.
Dhillon MS, Mootha AK, Bali K, Prabhakar S, Dhatt SS, Kumar V. Coronal fractures of the medial femoral condyle: a series of 6 cases and review of literature. Musculoskelet Surg. 2012;96(1):49–54.
Viskontas DG, Nork SE, Barei DP, Dunbar R. Technique of reduction and fixation of unicondylar medial Hoffa fracture. Am J Orthop. 2010;39(9):424–8.
Agarwal S, Giannoudis PV, Smith RM. Cruciate fracture of the distal femur: the double Hoffa fracture. Injury. 2004;35(8):828–30.
Tetsunaga T, Sato T, Shiota N, Yoshida M, Mochizuki Y, Tetsunaga T, et al. Posterior buttress plate with locking compression plate for Hoffa fracture. J Orthop Sci : Off J Jpn Orthop Ass. 2013;18(5):798–802.
Soni A, Sen RK, Saini UC, Singh D, Chaudhary S. Buttress plating for a rare case of comminuted medial condylar Hoffa fracture associated with patellar fracture. Chinese journal of traumatology =. Zhonghua chuang shang za zhi / Chin Med Assoc. 2012;15(4):238–40.
Shi J, Tao J, Zhou Z, Gao M. Surgical treatment of lateral Hoffa fracture with a locking plate through the lateral approach. Eur J Orthop Surg Traumatol: Orthopedie Traumatologie. 2013.
Chang JJ, Fan JC, Lam HY, Cheung KY, Chu VW, Fung KY. Treatment of an osteoporotic Hoffa fracture. Knee Surg, Sports Traumatol, Arthrosc: Off J ESSKA. 2010;18(6):784–6.
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White, E.A., Matcuk, G.R., Schein, A. et al. Coronal plane fracture of the femoral condyles: anatomy, injury patterns, and approach to management of the Hoffa fragment. Skeletal Radiol 44, 37–43 (2015). https://doi.org/10.1007/s00256-014-2015-2
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DOI: https://doi.org/10.1007/s00256-014-2015-2