Lateral Buttress Plate Along with Cancellous Screw Fixation for Hoffa Fracture Using Swashbuckler Approach

Coronal plane fracture of the posterior femoral condyle, Hoffa fracture is a rare injury pattern. We report a case of a 32-year-old male with closed Lateral Hoffa fracture along with patella and medial condyle of tibia fracture. Patient was treated using 02 cannulated cancellous screws and a lateral recon plate for Hoffa fracture, tension band wiring for patella fracture and 02 cannulated cancellous screws for tibia fracture through modified swashbuckler approach. Twenty-four months postoperatively, the range of movement in the knee was 0°-130°. In this complex case, our technique provided stable fixation of the fragments and a satisfactory final functional outcome.