Bicondylar Hoffa's fracture with patellar dislocation - a rare case.

Area of Science:

• Orthopedic surgery
• Traumatology
• Biomechanics

Background:

• Bicondylar Hoffa's fractures of the femur are rare.
• Associated injuries like patellar dislocation, patellar fracture, and extensor mechanism rupture have been documented.
• Unconjoint fractures are even less common.

Purpose of the Study:

• To report a rare case of unconjoint bicondylar Hoffa's fracture with lateral patellar dislocation.
• To describe the surgical management and outcome of this specific injury pattern.

Main Methods:

• Case report of a 17-year-old male patient.
• Surgical treatment involving open reduction and cancellous screw fixation.
• Post-operative assessment of fracture healing and functional outcome.

Main Results:

• Successful open reduction and internal fixation of the unconjoint bicondylar Hoffa's fracture.
• Good fracture healing achieved with cancellous screw fixation.
• Excellent functional outcome reported for the patient.

Conclusions:

• Unconjoint bicondylar Hoffa's fractures with lateral patellar dislocation can be successfully treated with open reduction and internal fixation.
• Cancellous screw fixation provides a reliable method for achieving union and restoring function in these complex injuries.
• This case highlights a viable treatment strategy for a rare traumatic knee injury.