Rare case of medial Hoffa fracture with ipsilateral femur shaft fracture with unusual mechanism of injury

Jeetendra Katariya; Anup Khatri

doi:10.18203/issn.2455-4510.IntJResOrthop20243138

Authors

Jeetendra Katariya Department of Orthopaedics, Gleneagles Hospital, Parel, Mumbai, Maharashtra, India
Anup Khatri Department of Orthopaedics, Gleneagles Hospital, Parel, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20243138

Keywords:

Hoffa’s fracture, Coronal plane, Femoral condyle, Polytrauma, Femoral shaft fracture

Abstract

Hoffa’s fracture is a rare fracture which involves coronal fracture of the distal femur involving one or both the condyles. We report a rare combination of Hoffa fracture with ipsilateral femur shaft fracture with an unusual mechanism of injury. This case report will help increase awareness about such combined fracture pattern and eventually avoid missing these important intra-articular injuries- Hoffa’s fracture. In a patient with ipsilateral femur shaft fracture and in polytrauma patients, diagnosis of Hoffa’s fracture is very challenging because of presence of other long bone fracture and injuries. Missed Hoffa’s fracture in a patient with ipsilateral femur shaft fracture may restrict post-operative knee range of motion, knee pain, increased risk of early arthritis and joint deformity and stiffness.

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