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Hoffa fractures classification

Robinson E Pires, Vincenzo Giordano, Fabricio Fogagnolo, Richard S Yoon, Frank A Liporace, Mauricio Kfuri
Treatment of distal femur fractures in the coronal plane can be challenging. Depending on fracture line orientation, topography and associated comminution, decision-making regarding approach and fixation is not straightforward and can result in complications. Therefore, treatment of coronal plane distal femur fractures (Busch-Hoffa fractures) should be approached in a systematic manner, leading to efficient planning and operative execution. Here, we offer a proposed treatment algorithm, guiding treatment, approach and fixation based on the modified Letenneur classification of coronal plane distal femur fractures...
August 2018: Injury
Y B Zhou, Q X Wang, W Chen
Hoffa fracture is a rare type of fracture confined to the coronal plane of the femoral condyle. High-energy is a common reason of Hoffa fracture, and low-energy trauma and iatrogenic injury can also cause Hoffa fracture in some cases. The commonly used classifications include Letenneur classification, CT classification, AO classification and modified AO classification. X-ray is the first choice to diagnose Hoffa fractures, fracture lines can be found. If the X-ray is negative, CT scan and MRI should be performed...
January 1, 2017: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Walter Mak, John Hunter, Eva Escobedo
In this report, we present a case of an uncommon coronal fracture of the femoral condyle, known as a Hoffa fracture. Classification of these injuries and commonly associated injuries are discussed. We describe previously proposed mechanisms of injury and review the current literature. The difficulty in establishing radiologic diagnosis on the basis of radiography exclusively is emphasized. Finally, current approaches to operative fixation are outlined.
2008: Radiology Case Reports
Li-lai Zhao, Pei-jian Tong, Lu-wei Xiao
OBJECTIVE: To explore the clinical effects of internal fixation with lag screws plus an anti-sliding plate for the treatment of Hoffa fractures of the lateral femoral condyle. METHODS: From May 2006 to May 2014, 17 patients with Hoffa fractures of the lateral femoral condyle were treated with lag screws plus an anti-sliding plate. There were 13 males and 4 females, ranging in age from 27 to 59 years, with a mean of 32.5 years. All the fractures were fresh and closed fractures...
March 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Jan Bartoníček, Stefan Rammelt
The first known description of the coronal fracture of the lateral femoral condyle was published by Busch in 1869. Hoffa used Busch's drawing in the first edition of his book in 1888 and accompanied it only with one sentence. A full case history of this fracture pattern was described by Braun in 1891. However, Braun's article fell into oblivion and so the fracture was popularized only in the fourth edition of Hoffa's textbook, particularly thanks to the drawing, rather than the brief description. Therefore, a fracture of the posterior femoral condyle, or more specifically, of the lateral condyle, could properly be called "Busch-Hoffa fracture"...
June 2015: International Orthopaedics
Anuj Jain, Prakash Aggarwal, Amite Pankaj
OBJECTIVE: The aim of this study was to report our experience on concomitant ipsilateral proximal tibia and femoral Hoffa fractures. METHODS: Nine patients (8 male, 1 female; mean age: 30.9; range: 19-49 years) presented to our emergency room with an ipsilateral proximal tibia and femoral Hoffa fracture, following road traffic accident. Six patients had open fracture. Two patients had ipsilateral femoral shaft fracture, two patients had fracture of intercondylar part of distal femur, one had fracture of patella and one had fracture of both bones of the leg...
2014: Acta Orthopaedica et Traumatologica Turcica
Tao Lin, Shuhua Yang, Baojun Xiao, Dehao Fu
OBJECTIVE: To investigate the effectiveness of cannulated lag screws combined with lateral supporting plates in the treatment of Hoffa fracture of Letenneur type I and type III. METHODS: Between May 2004 and April 2011, 11 patients with Hoffa fracture of Letenneur type I and type III were treated, including 6 males and 5 females with an average age of 36 years (range, 25-47 years). Factures were caused by traffic accident in 8 cases, by falling in 2 cases, and by the other in 1 case...
September 2013: Chinese Journal of Reparative and Reconstructive Surgery
L Pasa, P Visna, J Kocis, V Muzík, R Veselý
PURPOSE OF THE STUDY: The authors present the results of arthroscopic reduction of a displaced fracture of the intercondylar eminence and stabilization of the fracture with a tension band wire and absorbable, double PDS sutures. MATERIAL: In the years 1998 to 2002, a fracture of the intercondylar eminence was arthroscopically diagnosed in 34 patients, 21 women and 13 men in the age range of 17 to 46 years. Five patients had type I fracture, 13 had type II fracture and 16 had type III fracture, as classified by the Meyers and McKeever system...
2005: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
F Wallenböck, C Ledinski
Fractures of the plateau of the tibia and of the trochlea of the femoral condyle are intra-articular fractures of a major weight-bearing joint. The mechanism of the injury--a combination of vertical thrust and twisting--leads to various types of fracture and in particular to considerable damage to the cartilaginous portions of the joint. In addition there is often extensive damage to the soft tissues surrounding the joint, making necessary an even more sophisticated technique for the fixation of this type of fracture...
April 1993: Aktuelle Traumatologie
U A Heuschen, U Göhring, P J Meeder
The isolated, tangential fracture of the dorsal part of the femoral condylus was first described by Friedrich Busch (1844-1916), a surgeon from Berlin in 1869, and not as always supposed by Albert Hoffa (1859-1907) in 1904. This is a case report describing a bilateral type B3-fracture of the distal femur (AO-fracture-classification) in a 58 year old man. Diagnostic, surgical procedure and outcome are described and discussed.
May 1994: Aktuelle Traumatologie
S Chalkias, F Frezza, M Cova, R Pozzi Mucelli, M Pozzi Mucelli, L Dalla Palma
MRI of the articular cartilage requires a careful technical approach since this structure is very thin, with a peculiar internal architecture between the supporting matrix and the cell component. On MR images the normal articular cartilage has a zonal appearance. To optimize the variables for best visualization of the internal architecture of the hyaline articular cartilage, an ex vivo and in vivo study was carried out. Accurate T1 and T2 relaxation times of the articular cartilage were obtained with a particular mixed sequence and then used to create isocontrast intensity graphs...
May 1994: La Radiologia Medica
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