Case Report: Bicondylar conjoined Hoffa fracture with incarcerated patella.

IF 1.6 4区医学 Q2 SURGERY

Frontiers in Surgery Pub Date : 2025-02-13 eCollection Date: 2025-01-01 DOI:10.3389/fsurg.2025.1480070

Wissem Mansouri, Jean Darnaudet, Romain Huguet, Alban Fouasson-Chailloux, Vincent Crenn

引用次数: 0

Abstract

Case: Hoffa fractures, uncommon injuries of the femoral condyle, sometimes involve both condyles, forming bicondylar fractures, typically from high-velocity trauma. We describe a 17-year-old male with an open conjoined bicondylar Hoffa fracture and a patellar fracture with incarceration following a road traffic accident. Emergency treatments included debridement, irrigation, and cannulated screw fixation. Postoperative care involved controlled range-of-motion exercises and specialized rehabilitation.

Conclusion: Despite its rare and severe nature, this conjoined bicondylar Hoffa fracture with patellar incarceration was successfully managed, showing excellent recovery. CT scans are vital for accurate injury definition and surgical planning. Anatomical reduction and rigid fixation enable early mobilization and excellent long-term outcomes.

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病例报告：双髁联合Hoffa骨折伴嵌顿髌骨。

病例：Hoffa骨折，罕见的股骨髁损伤，有时累及两个髁，形成双髁骨折，通常来自高速创伤。我们描述了一名17岁的男性，在一次道路交通事故后，开放性联合双髁Hoffa骨折和髌骨骨折并嵌顿。紧急治疗包括清创、冲洗和空心螺钉固定。术后护理包括可控制的活动范围练习和专门的康复。结论：该双髁Hoffa骨折合并髌骨嵌顿虽罕见且严重，但治疗成功，恢复良好。CT扫描对于准确的损伤定义和手术计划至关重要。解剖复位和刚性固定可实现早期活动和良好的长期预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.