Concomitant ipsilateral proximal tibia and femoral Hoffa fractures

Area of Science:

• Orthopedic Surgery
• Trauma Care
• Musculoskeletal Research

Background:

• Concomitant ipsilateral proximal tibia and femoral Hoffa fractures are rare injuries.
• These fractures often result from high-energy trauma, such as road traffic accidents.
• Optimal management strategies for this fracture combination require careful consideration.

Purpose of the Study:

• To describe the clinical experience with concomitant ipsilateral proximal tibia and femoral Hoffa fractures.
• To evaluate the outcomes of surgical management for this specific fracture pattern.
• To highlight the importance of anatomic reduction and stable fixation.

Main Methods:

• A retrospective review of nine patients with ipsilateral proximal tibia and femoral Hoffa fractures.
• Patients were treated with surgical fixation, including anatomic reduction and rigid fixation.
• Follow-up included assessment of fracture union, knee society score, and range of motion.

Main Results:

• All nine fractures achieved union within the follow-up period (mean 13 months).
• Patients demonstrated good functional outcomes with a mean knee society score of 163.
• Mean range of motion at the knee joint was 97.4 degrees.

Conclusions:

• Anatomic reduction and rigid fixation are crucial for successful treatment of concomitant ipsilateral proximal tibia and femoral Hoffa fractures.
• Early mobilization following surgical fixation contributes to satisfactory functional recovery.
• This approach yields positive outcomes for complex intraarticular knee fractures.