Related Experiment Video

Updated: Feb 9, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
04:41

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

1.1K

Algorithmic treatment of Busch-Hoffa distal femur fractures: A technical note based on a modified Letenneur

Robinson E Pires1, Vincenzo Giordano2, Fabricio Fogagnolo3

  • 1Department of the Locomotor Apparatus, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil; Department of Orthopedics, Felicio Rocho Hospital, Belo Horizonte, MG, Brazil.

Injury
|June 11, 2018
PubMed

Insights

This study presents a systematic treatment algorithm for challenging coronal plane distal femur fractures (Busch-Hoffa fractures). The algorithm guides surgical approach and fixation based on fracture classification for improved outcomes.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Biomechanical Engineering

Background:

  • Coronal plane distal femur fractures, also known as Busch-Hoffa fractures, present significant treatment challenges.
  • Fracture complexity, including orientation, topography, and comminution, complicates surgical decision-making and can lead to complications.

Purpose of the Study:

  • To propose a systematic treatment algorithm for coronal plane distal femur fractures.
  • To guide the selection of surgical approach and fixation methods based on fracture characteristics.

Main Methods:

  • Development of a treatment algorithm based on the modified Letenneur classification system.
  • Systematic evaluation of fracture patterns to determine optimal surgical strategy.

Main Results:

  • The proposed algorithm provides a structured approach to managing Busch-Hoffa fractures.
  • Facilitates efficient planning and operative execution for improved patient outcomes.

Conclusions:

  • A systematic, classification-based algorithm enhances the management of coronal plane distal femur fractures.
  • This approach aims to reduce complications and optimize surgical results in treating these complex injuries.

Keywords:
Articular fractureBusch-Hoffa fractureCoronal plane fractureDistal femur fractureFracture fixationHoffa fractureInternal fixationKnee fractureOpen reductionSurgical approach

More Related Videos

Transverse Fracture of the Mouse Femur with Stabilizing Pin03:57

Transverse Fracture of the Mouse Femur with Stabilizing Pin

Published on: December 29, 2021

4.1K
Establishing a Diaphyseal Femur Fracture Model in Mice05:46

Establishing a Diaphyseal Femur Fracture Model in Mice

Published on: December 9, 2022

3.1K

Related Concept Videos

Trial and Error and Algorithm01:12

Trial and Error and Algorithm

A problem-solving strategy is a plan of action used to find a solution. Different strategies have distinct action plans. Trial and error involves trying different solutions until one works. For instance, to fix a broken printer, you might check ink levels, ensure the paper tray isn't jammed, and verify the printer's connection to your laptop. This method can be time-consuming but is commonly used. Thomas Edison, for example, used trial and error to find a suitable filament for the light...
425
Classification of Titrimetric Analysis Based on Reaction Types01:01

Classification of Titrimetric Analysis Based on Reaction Types

Titrimetric analysis in solution chemistry involves measuring the volume of solutions and is often called volumetric analysis. The standard solution of known concentration in the burette is called the titrant, whereas the solution of unknown concentration in the flask is called the analyte, or titrand. Titrimetric analyses can be classified into four types based on the reactions between the titrant and analyte.
Titrations between an acid and a base lead to neutralization reactions that form...
1.8K
Cardiovascular Drugs: Classification based on Therapeutic Indications01:18

Cardiovascular Drugs: Classification based on Therapeutic Indications

Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However,...
4.2K
Bones of the Lower Limb: Femur and Patella01:16

Bones of the Lower Limb: Femur and Patella

The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
5.2K
Fractures: Bone Repair01:27

Fractures: Bone Repair

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...
5.5K
Force Classification01:22

Force Classification

Forces play a crucial role in the study of physics and engineering. They are essential in describing the motion, behavior, and equilibrium of objects in the physical world. Forces can be classified based on their origin, type, and direction of action.
Contact and non-contact forces are two of the most widely used categories of forces. As the name suggests, contact forces require physical contact between two objects to act upon each other. Examples of contact forces include frictional,...
2.4K