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A case report of an arthroscopic-assisted fixation of a small Hoffa fracture in a young patient

INTRODUCTION: Hoffa fracture is a type of rare tangential supracondylar distal femoral fracture. The most common mechanism of this fracture injury is high energy trauma. In some cases, its poor visibility on X-rays makes its diagnosis difficult and needs more than routine X-rays. Treatment methods i...

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Autores principales: Noufal, Abdullah, Meda, Muhammad Rafat, Aboujaib, Muhammed Fayez
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7819821/
https://www.ncbi.nlm.nih.gov/pubmed/33482448
http://dx.doi.org/10.1016/j.ijscr.2021.01.032
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author Noufal, Abdullah
Meda, Muhammad Rafat
Aboujaib, Muhammed Fayez
author_facet Noufal, Abdullah
Meda, Muhammad Rafat
Aboujaib, Muhammed Fayez
author_sort Noufal, Abdullah
collection PubMed
description INTRODUCTION: Hoffa fracture is a type of rare tangential supracondylar distal femoral fracture. The most common mechanism of this fracture injury is high energy trauma. In some cases, its poor visibility on X-rays makes its diagnosis difficult and needs more than routine X-rays. Treatment methods include conventional ORIF, or arthroscopy-assisted fixation as a more challenging method. CASE REPORT: We present a case of a young female patient who sustained a low energy injury trauma to her left knee, which caused in a small minimally displaced lateral unicondylar Hoffa fracture. DISCUSSION: Although it needs more experience and special tools, arthroscopy-assisted fixation of Hoffa fracture provides a good method of treatment, and it has many advantages over open method. CONCLUSION: Our aim here is to confirm that Hoffa fracture may occur even with low energy knee trauma, and that arthroscopy-assisted fixation is a successful, applicable and alternative method to ORIF for small and thin osteochondral fragments, and could provide good stability and union even when using only one screw for fixation.
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spelling pubmed-78198212021-01-29 A case report of an arthroscopic-assisted fixation of a small Hoffa fracture in a young patient Noufal, Abdullah Meda, Muhammad Rafat Aboujaib, Muhammed Fayez Int J Surg Case Rep Case Report INTRODUCTION: Hoffa fracture is a type of rare tangential supracondylar distal femoral fracture. The most common mechanism of this fracture injury is high energy trauma. In some cases, its poor visibility on X-rays makes its diagnosis difficult and needs more than routine X-rays. Treatment methods include conventional ORIF, or arthroscopy-assisted fixation as a more challenging method. CASE REPORT: We present a case of a young female patient who sustained a low energy injury trauma to her left knee, which caused in a small minimally displaced lateral unicondylar Hoffa fracture. DISCUSSION: Although it needs more experience and special tools, arthroscopy-assisted fixation of Hoffa fracture provides a good method of treatment, and it has many advantages over open method. CONCLUSION: Our aim here is to confirm that Hoffa fracture may occur even with low energy knee trauma, and that arthroscopy-assisted fixation is a successful, applicable and alternative method to ORIF for small and thin osteochondral fragments, and could provide good stability and union even when using only one screw for fixation. Elsevier 2021-01-15 /pmc/articles/PMC7819821/ /pubmed/33482448 http://dx.doi.org/10.1016/j.ijscr.2021.01.032 Text en © 2021 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Noufal, Abdullah
Meda, Muhammad Rafat
Aboujaib, Muhammed Fayez
A case report of an arthroscopic-assisted fixation of a small Hoffa fracture in a young patient
title A case report of an arthroscopic-assisted fixation of a small Hoffa fracture in a young patient
title_full A case report of an arthroscopic-assisted fixation of a small Hoffa fracture in a young patient
title_fullStr A case report of an arthroscopic-assisted fixation of a small Hoffa fracture in a young patient
title_full_unstemmed A case report of an arthroscopic-assisted fixation of a small Hoffa fracture in a young patient
title_short A case report of an arthroscopic-assisted fixation of a small Hoffa fracture in a young patient
title_sort case report of an arthroscopic-assisted fixation of a small hoffa fracture in a young patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7819821/
https://www.ncbi.nlm.nih.gov/pubmed/33482448
http://dx.doi.org/10.1016/j.ijscr.2021.01.032
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