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Published on: April 11, 2012
Fixed Flexion Deformity due to Displaced Hoffa Fracture: A Case Report
Amber Van Steenberge1, Mathias van den Broek1
1Department of Orthopaedic Surgery, Sint-Blasius Hospital, Kroonveldlaan 50, 9200, Dendermonde, Belgium.
Introduction:
Hoffa fractures of the femoral condyles are rare, especially in the pediatric population. A Hoffa fracture causing an acute fixed flexion deformity has never been described in literature.
Case Report:
A 14-year-old girl sustained a complex Hoffa Fracture of the lateral femoral condyle of her left knee, which caused acute locking of the patella distal to this fracture and subsequent a fixed hyperflexion deformity. After radiological imaging, this fracture was closely reduced in the operation room. Four days after trauma, the fracture was arthroscopically treated with 2 headless compression screws.
Conclusions:
Urgent recognition of Hoffa fractures is of utmost importance. Quick and adequate evaluation and surgical treatment of these fractures improve the return to normal activity level and decrease the complications.