Management of Hoffa fractures A series of cases from the Alcívar Hospital.

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Hugo Ernesto Villarroel Rovere
María Dolores Delgado Zambrano
Manuel Rodríguez Espinoza de los Monteros
Adrián Ernesto Villarroel Pérez

Abstract

Introduction: Isolated fractures of the unilateral posterior femoral condyles in the coronal plane are rare and known as Hoffa fractures. They have an absolute surgical indication; only cannulated screws have been used in an anteroposterior direction, then screws were associated in a transverse direction, and currently, neutralization plates are also used to increase stability.


Methods: During 10 years (January 2014 to September 2024), three patients with Hoffa fractures underwent surgery at the Alcívar Hospital; the Letenneur and Bagaria classifications were used. KSS scale at 3 and 6 months postoperatively.


Results: Hoffa fractures have an incidence of 0.25%; all patients were male, with an average age of 29 years; only one patient had a high-energy accident and presented associated injuries, and the others were low-energy with a predisposing condition. In two cases, only three cannulated screws were used; in one case, two cannulated screws and two neutralization plates were used. There was consolidation in the third month, partial weight bearing in 10 weeks, and total weight bearing in 12 weeks; the final functional results were higher than 80 points in all three patients.


Conclusions: This injury has an absolute surgical indication, requiring precise anatomical reduction and stable fixation, allowing early knee mobilization. Currently, the ideal fixation used is the combination of cannulated screws in 2 planes and neutralization plates.

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How to Cite
Management of Hoffa fractures: A series of cases from the Alcívar Hospital. (2024). Actas Médicas (Ecuador), 34(2), 168-178. https://doi.org/10.61284/218
Section
Case Reports
Author Biographies

Hugo Ernesto Villarroel Rovere, Orthopedics and Traumatology Service, Alcívar Hospital, Guayaquil, Ecuador.

Specialist in Traumatology and Orthopedics from the University of Guayaquil (Guayaquil, 2004). Doctor in Medicine and Surgery from the University of Guayaquil. Orthopedic-Traumatologist, Team member and director of the Orthopedics and Traumatology postgraduate course, Alcívar Hospital, Guayaquil, Ecuador.

María Dolores Delgado Zambrano, Orthopedics and Traumatology Service, Alcívar Hospital, Guayaquil, Ecuador.

Orthopedics and Traumatology Service, Alcívar Hospital, Guayaquil, Ecuador. Treating physician of the Orthopedics and Traumatology Service, Alcívar Hospital, Guayaquil, Ecuador. Subspecialty in Children's Orthopedics.

Manuel Rodríguez Espinoza de los Monteros, Orthopedics and Traumatology Service, Alcívar Hospital, Guayaquil, Ecuador.

R2 Postgraduate Doctor of Traumatology and Orthopedics. Alcívar Hospital, Guayaquil, Ecuador.

Adrián Ernesto Villarroel Pérez, Guayas Complementary Health Network, Guayaquil, Ecuador.

Doctor from the Catholic University of Santiago de Guayaquil (Guayaquil 2022). Complementary Health Network of Guayas.

How to Cite

Management of Hoffa fractures: A series of cases from the Alcívar Hospital. (2024). Actas Médicas (Ecuador), 34(2), 168-178. https://doi.org/10.61284/218

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