Orif of lateral Hoffa's fracture with irreducible patella dislocation and incarcerated patella in lateral Hoffa's fragment: rare injury presentation

Authors

  • M. B. Lingayat Department of Orthopaedics, Government Medical College Hospital, Aurangabad, Maharashtra, India
  • Prashant Rajkumar Bansode Department of Orthopaedics, Government Medical College Hospital, Aurangabad, Maharashtra, India
  • Aditya Vijaykumar Jadhav Department of Orthopaedics, Government Medical College Hospital, Aurangabad, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20232630

Keywords:

Hoffa’s fracture, Patella dislocation, Incarcerated patella in Hoffa’s fragment

Abstract

Majority of lateral Hoffa fracture are associated with knee injury. Presenting a case of 30-years-old gentleman who presented with pain, swelling, deformity in knee of right side after road traffic accident.  On local examination there was marked swelling with inability to palpate patella, inability to flex knee. On clinical examination, there was patella dislocation as it was not in place and unable to reduce. Radiological investigation showed a lateral Hoffa's fracture with dislocation of patella and patella being incarcerated in Hoffa fragment. Operative and follow up: Patient was operated by open reduction of patella dislocation and CC screw fixation for lateral Hoffa fracture. On six weeks follow up normal ROM achieved. Patient was surgically treated to relocate locked patella fragment in Hoffa's fragment and fix Hoffa's fragment and achieved good range of motion.

References

Soraganvi PC, Gowda BN, Rajagopalakrishnan R, Gavaskar AS. Irreducible, incarcerated vertical dislocation of patella into a Hoffa fracture. Indian J Orthop. 2014;48:525-8.

Vaishya R, Singh AP, Dar IT, Singh AP, Mittal V. Hoffa fracture with ipsilateral patellar dislocation resulting from household trauma. Can J Surg. 2009;52(1):E3.

Shetty GM, Wang JH, Kim SK, Park JH, Park JW, Kim JG et al. Incarcerated patellar tendon in Hoffa fracture: an unusual cause of irreducible knee dislocation. Knee Surg Sports Traumatol Arthroscopy. 2008;16:378-81.

ElMaraghy AW, Berry GK, Kreder HJ. Irreducible lateral patellar dislocation with vertical axis rotation: case report and review of the literature. J Trauma Acute Care Surg. 2002;53(1):131-2.

Chauhan A. Irreducible, incarcerated vertical dislocation of the patella into a Hoffa fracture. Indian J Orthop. 2015;49(3):369.

Pathak S, Salunke A, Karn S, Ratna HV, Thivari PS, Sharma S et al. Hoffa’s fracture with associated injuries around the knee joint: an approach to a rare injury. Cureus. 2020;12(4).

Kumar R, Malhotra R. The Hoffa fracture: three case reports. J Orthop Surg. 2001;9(2):47-51.

Downloads

Published

2023-08-28