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Background <p>Hoffa fracture of distal femoral condyle has been described since 1904. Bicondylar Hoffa fractures are rarer as compared to unicondylar Hoffa fracture.</p> Methods <p>Three cases of bicondylar Hoffa fractures were managed between 2014 and 2023 by open reduction and internal fixation. Previously reported 25 cases were reviewed along with these three cases.</p> Results <p>The three reported cases had 0–140; 0–100 and 0–90<b>°</b> of movements after an year of treatment.</p> Conclusion <p>Four fractures of the reviewed (previously reported) cases which had fragmentation of smaller sizes had undergone fixation only with screws. All three fractures of the current series had fragmentation of the fractures and had been fixed with buttress plates and interfragmentary screws. We feel that fragmentation of smaller sizes could be managed with interfragmentary screws alone and fragmentation of larger sizes as in the current case series requires additional buttress plating.</p>

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The Significance of Fragmentation Among Bicondylar Hoffa Fractures — Case Series of Three Fractures and Review of Literature

  • 期刊论文

  • 发表日期：

    2025年4月19日

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  • P R. Ramasamy,
  • S. Kavin

摘要

Background

Hoffa fracture of distal femoral condyle has been described since 1904. Bicondylar Hoffa fractures are rarer as compared to unicondylar Hoffa fracture.

Methods

Three cases of bicondylar Hoffa fractures were managed between 2014 and 2023 by open reduction and internal fixation. Previously reported 25 cases were reviewed along with these three cases.

Results

The three reported cases had 0–140; 0–100 and 0–90° of movements after an year of treatment.

Conclusion

Four fractures of the reviewed (previously reported) cases which had fragmentation of smaller sizes had undergone fixation only with screws. All three fractures of the current series had fragmentation of the fractures and had been fixed with buttress plates and interfragmentary screws. We feel that fragmentation of smaller sizes could be managed with interfragmentary screws alone and fragmentation of larger sizes as in the current case series requires additional buttress plating.