The Significance of Fragmentation Among Bicondylar Hoffa Fractures - Case Series of Three Fractures and Review of Literature.
case_series · Level IV
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- Record sourced from PubMed, PMID 40511356.
- Also identified by DOI 10.1007/s43465-025-01358-w and PMC identifier 12151975.
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Abstract
Hoffa fracture of distal femoral condyle has been described since 1904. Bicondylar Hoffa fractures are rarer as compared to unicondylar Hoffa fracture. Three cases of bicondylar Hoffa fractures were managed between 2014 and 2023 by open reduction and internal fixation. Previously reported 25 cases were reviewed along with these three cases. The three reported cases had 0-140; 0-100 and 0-90<b>°</b> of movements after an year of treatment. Four fractures of the reviewed (previously reported) cases which had fragmentation of smaller sizes had undergone fixation only with screws. All three fractures of the current series had fragmentation of the fractures and had been fixed with buttress plates and interfragmentary screws. We feel that fragmentation of smaller sizes could be managed with interfragmentary screws alone and fragmentation of larger sizes as in the current case series requires additional buttress plating.