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Medial Hoffa's Fracture Treated with Subvastus Approach - Case Series
Parimal Vairagade1, Akhilesh Khobragade1, Devashis Barick1
1Department of Orthopaedic Surgery, NKP Salve Institute of Medical Sciences, Nagpur, Maharashtra, India.
Insights
Medial Hoffa
Area of Science:
- Orthopedic Surgery
- Trauma Care
Background:
- Medial Hoffa's fractures are rare coronal plane fractures of the distal femur.
- These fractures are often missed on initial radiographs, delaying diagnosis and treatment.
Introduction:
Medial Hoffa's fractures are rare coronal plane fractures of the distal femur, often missed on initial radiographs. Early diagnosis and anatomical fixation are essential for good functional recovery.
Case Report:
We present three cases of medial Hoffa's fracture in adult patients following high-energy trauma. All were diagnosed using computed tomography scans. Surgical fixation was performed using headless compression screws through a subvastus approach. Post-operative rehabilitation protocols varied slightly, but all patients achieved satisfactory union and function by 6-9 months.
Conclusion:
High suspicion, advanced imaging, and stable fixation are vital for optimal outcomes in medial Hoffa's fractures. Consistent anatomical reduction across cases resulted in excellent functional recovery.
