A case report of an arthroscopic-assisted fixation of a small Hoffa fracture in a young patient

Abdullah Noufal, Muhammad Rafat Meda, Muhammed Fayez Aboujaib
International Journal of Surgery Case Reports 2021 January 15, 79: 198-205

INTRODUCTION: Hoffa fracture is a type of rare tangential supracondylar distal femoral fracture. The most common mechanism of this fracture injury is high energy trauma. In some cases, its poor visibility on X-rays makes its diagnosis difficult and needs more than routine X-rays. Treatment methods include conventional ORIF, or arthroscopy-assisted fixation as a more challenging method.

CASE REPORT: We present a case of a young female patient who sustained a low energy injury trauma to her left knee, which caused in a small minimally displaced lateral unicondylar Hoffa fracture.

DISCUSSION: Although it needs more experience and special tools, arthroscopy-assisted fixation of Hoffa fracture provides a good method of treatment, and it has many advantages over open method.

CONCLUSION: Our aim here is to confirm that Hoffa fracture may occur even with low energy knee trauma, and that arthroscopy-assisted fixation is a successful, applicable and alternative method to ORIF for small and thin osteochondral fragments, and could provide good stability and union even when using only one screw for fixation.

Full Text Links

Find Full Text Links for this Article


You are not logged in. Sign Up or Log In to join the discussion.

Trending Papers

Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"