Paediatric conjoint bicondylar Hoffa fracture with patellar tendon injury: An unusual pattern of injury

Epiphyseal injuries of distal femur are rare with an incidence of 1%–6% among all physeal injuries. Prompt diagnosis and appropriate surgical treatment is crucial to achieve satisfactory functional outcomes. A conjoint bicondylar coronal split (Hoffa) fracture with complete transaction of ipsilateral patellar tendon has been reported in a 12 year old child. The injury was managed by open reduction and internal fixation and bone to tendon repair. This case emphasizes the need of accurate intraepiphyseal fixation for the management of these fractures in skeletally immature patients.