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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Updated: Mar 9, 2026

Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents
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[Research progress of Hoffa fracture].

Y B Zhou1, Q X Wang, W Chen

  • 1Emergence Center of Trauma, Department of Orthopedic Surgery, the Third Hospital of Hebei Medical University, Orthopedic Research Institution of Hebei Province, Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang 050051, China.

Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|January 6, 2017
PubMed
Summary
This summary is machine-generated.

Hoffa fractures, rare coronal femoral condyle breaks, are diagnosed via X-ray, CT, or MRI. Surgical fixation is preferred over casting for optimal outcomes in these femoral condyle fractures.

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Radiology

Background:

  • Hoffa fracture is a rare coronal plane fracture of the femoral condyle.
  • Commonly caused by high-energy trauma, but also low-energy and iatrogenic injuries.
  • Existing classifications include Letenneur, CT, AO, and modified AO.

Purpose of the Study:

  • To review the diagnosis and management of Hoffa fractures.
  • To discuss surgical techniques for different fracture types.

Main Methods:

  • Review of diagnostic imaging modalities (X-ray, CT, MRI).
  • Discussion of conservative vs. surgical management options.
  • Description of surgical approaches and fixation techniques.

Main Results:

  • X-ray is the initial diagnostic tool; CT/MRI are used for negative X-rays.
  • Conservative management has a high risk of redisplacement.
  • Open reduction and internal fixation (ORIF) is the preferred treatment.

Conclusions:

  • Surgical fixation offers better outcomes for Hoffa fractures.
  • Specific surgical techniques (headless screws, cannulated screws with plates) are indicated based on fracture complexity and patient factors.