Complex Variant of Paediatric Conjoint Bicondylar Hoffa Fracture: A Rare Entity.

Indian Journal of Orthopaedics
Sumedh D Chaudhary, Sagar R Raghuwanshi

Abstract

Isolated, closed, conjoint bicondylar Hoffa fracture in a child is extremely rare with only three cases reported in literature till date. We report a complex variant of this very rare injury. An 11-year-old male child reported 2-week post-trauma with history of fall from a tree and injury to his right knee. Radiographs revealed a coronal plane fracture of the distal femur. The patient was operated using the swashbuckler approach, which revealed a sagittal split of the lateral femoral condyle along with a conjoint bicondylar Hoffa fracture. Fixation was done using multiple lag screws and fracture went on to uneventful union. Patient was followed up for 3 years and except for limb shortening of around 1.5 cm secondary to premature physeal closure as a consequence of the injury, he had excellent outcome with full range of motion at the knee, without any deformity.

References

Apr 22, 2011·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Hitesh LalDeepak Mittal
Jun 27, 2013·Indian Journal of Orthopaedics·Rehan Ul HaqPuneet Mishra
Oct 25, 2017·Journal of Clinical Orthopaedics and Trauma·Bushu HarnaDhananjaya Sabat

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