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[Medial Hoffa fracture: a case report]
A E Hernández-Coria1, C I Estrada-Marín2, A García-Hernández3
1Servicio de Ortopedia Pediátrica. Hospital General de México «Dr. Eduardo Liceaga», Ciudad de México. México.
Acta Ortopedica Mexicana
|December 8, 2022
Summary
This case study highlights the successful surgical management of a rare medial Hoffa fracture in the knee. Anatomical reduction and internal fixation led to a full recovery and return to daily activities.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Radiology
Background:
- Medial femoral condyle Hoffa fractures are exceptionally rare injuries.
- Successful management hinges on prompt diagnosis and precise anatomical reduction of the articular surface.
Observation:
- A case of right medial Hoffa fracture following a fall during horse riding is presented.
- Imaging revealed a subtle coronal plane fracture, associated with meniscal and ACL tears.
Findings:
- Open reduction and internal fixation with cannulated screws were performed via a medial approach.
- The patient achieved full range of motion and remained asymptomatic post-surgery.
Implications:
- A medial approach preserves the extensor mechanism, facilitating good outcomes.
- Anatomical reduction and stable fixation are crucial for restoring knee function after Hoffa fractures.
