A Novel Technique for Fixation of Non-union Unicondylar Hoffa's Fracture: A Case Report.

bone grafting contouring hoffa fracture neutralisation plates non-union

Journal

Malaysian orthopaedic journal
ISSN: 1985-2533
Titre abrégé: Malays Orthop J
Pays: Malaysia
ID NLM: 101564672

Informations de publication

Date de publication:
Nov 2020
Historique:
entrez: 6 1 2021
pubmed: 7 1 2021
medline: 7 1 2021
Statut: ppublish

Résumé

Hoffa fractures are rare and difficult fractures to manage. Hoffa fracture involves a coronal plane fracture of posterior femoral condyle. Non-union in Hoffa fracture is further difficult to manage. The surgical management for such nonunion includes open reduction with recon/LCP plate or screw fixation with bone grafting. The problem with plates is the difficulty in contouring the plates according to the shape of posterior femoral condyles. We describe a new technique with 2 L shaped neutralisation plates placed in a circular fashion. This technique provides a more rigid construct and gives better holding strength of screws in Hoffa fragment. This enhances union and mobilisation can be started early.

Identifiants

pubmed: 33403081
doi: 10.5704/MOJ.2011.028
pmc: PMC7751997
doi:

Types de publication

Case Reports

Langues

eng

Pagination

174-176

Informations de copyright

© 2020 Malaysian Orthopaedic Association (MOA). All Rights Reserved.

Références

J Clin Orthop Trauma. 2015 Mar;6(1):46-50
pubmed: 26549953
J Orthop. 2018 May 07;15(2):726-731
pubmed: 29881228
Malays Orthop J. 2019 Mar;13(1):57-59
pubmed: 31001387
J Knee Surg. 2013 Dec;26 Suppl 1:S89-93
pubmed: 23288759
Chin J Traumatol. 2015;18(1):54-8
pubmed: 26169099

Auteurs

B Harna (B)

Department of Orthopaedic, Maulana Azad Medical College, New Delhi, India.

D D Dutt (DD)

Department of Orthopaedic, Maulana Azad Medical College, New Delhi, India.

D Sabat (D)

Department of Orthopaedic, Maulana Azad Medical College, New Delhi, India.

Classifications MeSH