Buttress plating for a rare case of comminuted medial condylar Hoffa fracture associated with patellar fracture

作     者：Ashwani Soni Ramesh K Sen Uttam Chand Saini Dajjit Singh Sushil Chaudhary 

作者机构：Department of OrthopedicsPostgraduate Institute of Medical Education and ResearchChandigarh 160012In-dia 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2012年第15卷第4期

页      面：238-240页

学科分类：090603[农学-临床兽医学] 0601[历史学-考古学] 060305[历史学-专门史与整体史] 06[历史学] 060109[历史学-专门考古] 09[农学] 0906[农学-兽医学] 0603[历史学-世界史] 

基　　金：We conclude that comminuted medial condylar Hoffa fracture is a rare and intrinsically unstable frac- ture that needs rigid fixation. In this type of injury  fixa- tion with lag screws may not be sufficient. Our method of fixation of fracture may provide sufficient fixation to achieve early rehabilitation and good outcome 

主　　题：Fractures, bone Kneejoint Femur Pa- tella 

摘      要：Hoffa fracture is an uncommon injury. In the literature, lateral condylar Hoffa fracture is mentioned as a more common injury pattern than medial condylar Hoffa fracture. The mechanism of injury and method of treatment is not very well described in the literature. We are present- ing a rare case of comrninuted medial condylar Hoffa frac- ture with ipsilateral patellar fracture. The mechanism of in-jury has not been described in the literature. Lag screw fixation, which is the most acceptable method of treatment, is not possible due to comminution. We explain the pos- sible mechanism of injury and fix the fracture with L-but- tress plate.