Open AccessConjoint bicondylar Hoffa fracture in an adult
Author(s) -
Rehan Ul Haq,
Prashant Kumar Modi,
Ish Kumar Dhammi,
Anil K. Jain,
Puneet Mishra
Publication year - 2013
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.111509
Subject(s) - medicine , internal fixation , coronal plane , surgery , computed tomographic , reduction (mathematics) , condyle , radiography , fixation (population genetics) , computed tomography , radiology , population , geometry , mathematics , environmental health
Conjoint bicondylar Hoffa fracture is an extremely rare injury. Only one case has been reported previously in the pediatric age group. We describe this injury in a 17-year-old male who presented following a fall with direct impact on his semiflexed right knee. Plain radiographs were inadequate to define the exact pattern of injury. Computed tomographic (CT) scans demonstrated the coronal fracture involving both the femoral condyles which were joined by a bridge of intact bone. The patient was treated with open reduction and internal fixation using swashbuckler (modified anterior) approach. Union occurred within 3 months and at final followup (at 18 months) the patient had a good clinical outcome. The possible mechanism of injury is discussed.