Management of Hoffa fractures A series of cases from the Alcívar Hospital.
Main Article Content
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.
Downloads
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.