João Alves¹*, António Madureira¹, Raquel Cunha¹, Alexander Castro² and Tiago Pinheiro Torres³

¹Orthopedics Service, Hospital Centre Between the Douro and Vouga, Santa Maria da Feira
²Orthopedics Service, Centro Hospitalar Entre o Douro e Vouga, Santa Maria da Feira Bernardo, Orthopaedics Service, Boa Vista Health Center, Santa Maria da Feira
³Orthopedics Service, Centro Hospitalar Entre o Douro e Vouga, Santa Maria da Feira Orthopedics Service, Boa Vista Health Center, Santa Maria da Feira

*Corresponding Author: João Alves, Orthopedics Service, Hospital Centre Between the Douro and Vouga, Santa Maria da Feira.

Received: April 15, 2024; Published: May 13, 2024

Abstract

In this reported case, we have a 26-year-old male patient with a medial condylar Hoffa fracture, an intraarticular injury demanding prompt anatomical reduction and internal fixation. Despite the short interval since the injury, conventional open reduction and internal fixation were compromised by the skin conditions. Recognizing the urgency of addressing an intraarticular fracture, we opted for an arthroscopic assisted minimally invasive approach, aiming to capitalize on its benefits. Arthroscopy-guided fixation offers advantages such as the avoidance of extensive soft tissue dissection, facilitating a faster recovery process, and enabling early mobilization. The chosen approach in this case not only addressed the challenges posed by delayed presentation but also emphasized the adaptability of arthroscopic techniques in complex orthopedic scenarios. The patient experienced a positive outcome, highlighting the effectiveness of this alternative approach in managing medial condylar Hoffa fractures where traditional methods may be impractical. This case emphasizes the importance of adapting innovative approaches to achieve optimal outcomes in challenging orthopedic scenarios.

Keywords: Hoffa Fracture; Arthroscopy; Medial Hoffa; Coronal Condylar Fractures of Distal Femur; Knee Articular Fractures

References

1. Hoffa Albert. ‘Textbook of fractures and dislocations for doctors and students”. F. Enke (1904).
2. Wagih Ahmad M. "Arthroscopic management of a posterior femoral condyle (Hoffa) fracture: surgical technique." Arthroscopy Techniques4 (2015): e299-e303.
3. Lewis SL., et al. “Coronal fractures of the lateral femoral condyle”. The Journal of Bone and Joint Surgery British Volume1 (1989): 118120.
4. Ostermann PAW., et al. "Long term results of unicondylar fractures of the femur”. Journal of Orthopaedic Trauma2 (1994): 142-146.
5. Karim A and N Rossiter. "Isolated medial unicondylar Hoffa fracture following traumatic knee dislocation”. Injury Extra1 (2006): 12-14.

Citation

Citation: João Alves., et al. “Arthroscopic-assisted fixation of a Hoffa fracture: A Case Report".Acta Scientific Orthopaedics 7.6 (2024): 15-18.

Copyright

Copyright: © 2024 João Alves., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.