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Background <p>Medial femoral condylar fractures are uncommon and present diagnostic and management challenges. Medial buttress plating should be utilized for treatment. However, there are currently no available anatomical plates that fit the femoral medial condyle, posing management challenges and necessitating the use of alternative implants.</p> Case presentation <p>We present a case of a 65-year-old male with poliomyelitis who experienced a ground-level fall resulting in a comminuted medial condylar impaction fracture with a posterior Hoffa fragment. Reduction was achieved through a medial approach with bone grafting, followed by fixation using two headless compression screws and an AO contralateral medial distal tibia plate as a buttress plate. Satisfactory clinical and radiological outcomes were observed at one-year follow-up.</p> Conclusions <p>This report highlights the importance of meticulous evaluation and surgical intervention for complex medial condylar fractures, while introducing the contralateral medial distal tibia plate as a potential fixation option for such fractures.</p>

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Surgical treatment of femoral medial condyle impaction fracture complicated with Hoffa fragment by contralateral medial distal tibia plate: a case report

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  • 发表日期：

    2025年7月4日

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  • Yen-Cheng Chen,
  • Chun-Hung Lin

摘要

Background

Medial femoral condylar fractures are uncommon and present diagnostic and management challenges. Medial buttress plating should be utilized for treatment. However, there are currently no available anatomical plates that fit the femoral medial condyle, posing management challenges and necessitating the use of alternative implants.

Case presentation

We present a case of a 65-year-old male with poliomyelitis who experienced a ground-level fall resulting in a comminuted medial condylar impaction fracture with a posterior Hoffa fragment. Reduction was achieved through a medial approach with bone grafting, followed by fixation using two headless compression screws and an AO contralateral medial distal tibia plate as a buttress plate. Satisfactory clinical and radiological outcomes were observed at one-year follow-up.

Conclusions

This report highlights the importance of meticulous evaluation and surgical intervention for complex medial condylar fractures, while introducing the contralateral medial distal tibia plate as a potential fixation option for such fractures.