Vol. 1, Issue 3 (2019)
Bicondylar Hoffa fracture in a young male: A rare case
Author(s): Arya A, Arya S, Jindal M, Garg A, Sandhu N
Abstract: Hoffa fractures are uncommon intra-articular fractures of femoral condyle in coronal plane. An isolated coronal fracture of either or both femoral condyles is a rare entity and is usually associated with high-energy injury trauma. We report the case of a patient who had a bicondylar Hoffa fracture which occurred as a result of a Road Traffic accident. It was treated with the functional and orthopaedic approach. At follow- up of 3-month functional score was excellent with 90 degree flexion, an absence of laxity and an absence of pain. Through a review of the literature the mechanism, the diagnostic methods and therapeutic approach will be analysed. Operative treatment of Hoffa fractures yields fairly good functional outcome. Such fractures should be meticulously fixed for a good functional outcome as they involve the articular surface of a weight bearing joint. One must endeavor to achieve adequate intraoperative exposure and stable congruous articular reconstruction. Swashbuckler approach provides adequate exposure for appropriate reduction and fixation of such fractures. Early aggressive physical therapy is a harbinger of optimal outcome.