The Significance of Fragmentation Among Bicondylar Hoffa Fractures - Case Series of Three Fractures and Review of Literature.

IF 1.1 4区医学 Q3 ORTHOPEDICS

Indian Journal of Orthopaedics Pub Date : 2025-04-19 eCollection Date: 2025-06-01 DOI:10.1007/s43465-025-01358-w

P R Ramasamy, S Kavin

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引用次数: 0

Abstract

Background: Hoffa fracture of distal femoral condyle has been described since 1904. Bicondylar Hoffa fractures are rarer as compared to unicondylar Hoffa fracture.

Methods: Three cases of bicondylar Hoffa fractures were managed between 2014 and 2023 by open reduction and internal fixation. Previously reported 25 cases were reviewed along with these three cases.

Results: The three reported cases had 0-140; 0-100 and 0-90° of movements after an year of treatment.

Conclusion: Four fractures of the reviewed (previously reported) cases which had fragmentation of smaller sizes had undergone fixation only with screws. All three fractures of the current series had fragmentation of the fractures and had been fixed with buttress plates and interfragmentary screws. We feel that fragmentation of smaller sizes could be managed with interfragmentary screws alone and fragmentation of larger sizes as in the current case series requires additional buttress plating.

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骨折破碎在双髁Hoffa骨折中的意义——三例骨折病例系列及文献复习。

背景：股骨远端髁Hoffa骨折自1904年以来一直有报道。与单髁Hoffa骨折相比，双髁Hoffa骨折更为罕见。方法：对2014 ~ 2023年3例双髁Hoffa骨折采用切开复位内固定治疗。与这3例病例一起审查了以前报告的25例病例。结果：3例报告病例0 ~ 140分；治疗一年后0-100°和0-90°的运动。结论：在回顾的（先前报道的）4例骨折中，有较小尺寸的碎片仅用螺钉固定。本系列的所有3例骨折均有骨折碎裂，并已用支撑钢板和骨折间螺钉固定。我们认为，较小尺寸的碎片可以单独用碎片间螺钉处理，而较大尺寸的碎片，如目前的病例系列，需要额外的支撑钢板。

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

Indian Journal of Orthopaedics ORTHOPEDICS-

CiteScore

1.80

自引率

0.00%

发文量

185

审稿时长

9 months

期刊介绍： IJO welcomes articles that contribute to Orthopaedic knowledge from India and overseas. We publish articles dealing with clinical orthopaedics and basic research in orthopaedic surgery. Articles are accepted only for exclusive publication in the Indian Journal of Orthopaedics. Previously published articles, articles which are in peer-reviewed electronic publications in other journals, are not accepted by the Journal. Published articles and illustrations become the property of the Journal. The copyright remains with the journal. Studies must be carried out in accordance with World Medical Association Declaration of Helsinki.