{"title":"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。","authors":"P R Ramasamy, S Kavin","doi":"10.1007/s43465-025-01358-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Hoffa fracture of distal femoral condyle has been described since 1904. Bicondylar Hoffa fractures are rarer as compared to unicondylar Hoffa fracture.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>The three reported cases had 0-140; 0-100 and 0-90<b>°</b> of movements after an year of treatment.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"59 6","pages":"853-860"},"PeriodicalIF":1.1000,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151975/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Significance of Fragmentation Among Bicondylar Hoffa Fractures - Case Series of Three Fractures and Review of Literature.\",\"authors\":\"P R Ramasamy, S Kavin\",\"doi\":\"10.1007/s43465-025-01358-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Hoffa fracture of distal femoral condyle has been described since 1904. Bicondylar Hoffa fractures are rarer as compared to unicondylar Hoffa fracture.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>The three reported cases had 0-140; 0-100 and 0-90<b>°</b> of movements after an year of treatment.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":13338,\"journal\":{\"name\":\"Indian Journal of Orthopaedics\",\"volume\":\"59 6\",\"pages\":\"853-860\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-04-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151975/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Orthopaedics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s43465-025-01358-w\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/6/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Orthopaedics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s43465-025-01358-w","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
The Significance of Fragmentation Among Bicondylar Hoffa Fractures - Case Series of Three Fractures and Review of Literature.
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.
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.
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