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Open fracture-dislocation of the knee associated with nonunion of the medial femoral condyle and chronic tendon patellar rupture

BACKGROUND AND AIM OF WORK: The incidence of coronal fractures of the femoral condyle, Hoffa fractures, ranges from 8.7% to 13% of all fractures of the distal femur and are often observed in polytraumas. Hoffa fractures may be misdiagnosed and consequently not properly treated. Reduction and synthes...

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Autores principales: Calderazzi, Filippo, Visigalli, Alberto, Scita, Giacomo, Spirito, Alessandro, Ferrari, Umberto, Ceccarelli, Francesco, Pogliacomi, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8420834/
https://www.ncbi.nlm.nih.gov/pubmed/34313668
http://dx.doi.org/10.23750/abm.v92iS3.11718
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author Calderazzi, Filippo
Visigalli, Alberto
Scita, Giacomo
Spirito, Alessandro
Ferrari, Umberto
Ceccarelli, Francesco
Pogliacomi, Francesco
author_facet Calderazzi, Filippo
Visigalli, Alberto
Scita, Giacomo
Spirito, Alessandro
Ferrari, Umberto
Ceccarelli, Francesco
Pogliacomi, Francesco
author_sort Calderazzi, Filippo
collection PubMed
description BACKGROUND AND AIM OF WORK: The incidence of coronal fractures of the femoral condyle, Hoffa fractures, ranges from 8.7% to 13% of all fractures of the distal femur and are often observed in polytraumas. Hoffa fractures may be misdiagnosed and consequently not properly treated. Reduction and synthesis of this type of fracture should be achieved to avoid complications such as nonunion, pain, functional impairment. The authors present a case of a 5 year old nonunion of a Hoffa fracture of the medial condyle with chronic patellar tendon rupture. METHODS: Revision surgery consisted of reduction and fixation of the Hoffa fracture with screws associated with bone grafting from the iliac crest. Distalization of the patella by Z-plasty and reconstruction of the patellar tendon with Achille’s allograft were also performed. RESULTS: Clinical evaluation after 10 months following the end of the treatment showed a complete resolution of pain, almost complete range of motion, good strength and almost complete functionality of the operated limb. CONCLUSIONS: Mistakes in the diagnosis or treatment of Hoffa fracture can often result nonunion, functional impairment, and persistent pain. To avoid these, the senior authors of this text believe that the correct treatment of acute Hoffa fracture and its potential associated injuries are crucial, according to the concept of early damage control and later synthesis with soft tissue reconstruction. (www.actabiomedica.it)
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spelling pubmed-84208342021-09-22 Open fracture-dislocation of the knee associated with nonunion of the medial femoral condyle and chronic tendon patellar rupture Calderazzi, Filippo Visigalli, Alberto Scita, Giacomo Spirito, Alessandro Ferrari, Umberto Ceccarelli, Francesco Pogliacomi, Francesco Acta Biomed Case Report BACKGROUND AND AIM OF WORK: The incidence of coronal fractures of the femoral condyle, Hoffa fractures, ranges from 8.7% to 13% of all fractures of the distal femur and are often observed in polytraumas. Hoffa fractures may be misdiagnosed and consequently not properly treated. Reduction and synthesis of this type of fracture should be achieved to avoid complications such as nonunion, pain, functional impairment. The authors present a case of a 5 year old nonunion of a Hoffa fracture of the medial condyle with chronic patellar tendon rupture. METHODS: Revision surgery consisted of reduction and fixation of the Hoffa fracture with screws associated with bone grafting from the iliac crest. Distalization of the patella by Z-plasty and reconstruction of the patellar tendon with Achille’s allograft were also performed. RESULTS: Clinical evaluation after 10 months following the end of the treatment showed a complete resolution of pain, almost complete range of motion, good strength and almost complete functionality of the operated limb. CONCLUSIONS: Mistakes in the diagnosis or treatment of Hoffa fracture can often result nonunion, functional impairment, and persistent pain. To avoid these, the senior authors of this text believe that the correct treatment of acute Hoffa fracture and its potential associated injuries are crucial, according to the concept of early damage control and later synthesis with soft tissue reconstruction. (www.actabiomedica.it) Mattioli 1885 2021 2021-07-26 /pmc/articles/PMC8420834/ /pubmed/34313668 http://dx.doi.org/10.23750/abm.v92iS3.11718 Text en Copyright: © 2020 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA https://creativecommons.org/licenses/by-nc-sa/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License
spellingShingle Case Report
Calderazzi, Filippo
Visigalli, Alberto
Scita, Giacomo
Spirito, Alessandro
Ferrari, Umberto
Ceccarelli, Francesco
Pogliacomi, Francesco
Open fracture-dislocation of the knee associated with nonunion of the medial femoral condyle and chronic tendon patellar rupture
title Open fracture-dislocation of the knee associated with nonunion of the medial femoral condyle and chronic tendon patellar rupture
title_full Open fracture-dislocation of the knee associated with nonunion of the medial femoral condyle and chronic tendon patellar rupture
title_fullStr Open fracture-dislocation of the knee associated with nonunion of the medial femoral condyle and chronic tendon patellar rupture
title_full_unstemmed Open fracture-dislocation of the knee associated with nonunion of the medial femoral condyle and chronic tendon patellar rupture
title_short Open fracture-dislocation of the knee associated with nonunion of the medial femoral condyle and chronic tendon patellar rupture
title_sort open fracture-dislocation of the knee associated with nonunion of the medial femoral condyle and chronic tendon patellar rupture
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8420834/
https://www.ncbi.nlm.nih.gov/pubmed/34313668
http://dx.doi.org/10.23750/abm.v92iS3.11718
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