Twenty-seven-year nonunion of a Hoffa fracture in a 46-year-old patient
Twenty-seven-year nonunion of a Hoffa fracture in a 46-year-old patient作者机构：Department of Bone and Joint. First Hospital of Jilin University. Changchun 130021 Jilin Province. China
出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)
年 卷 期：2015年第18卷第1期
页 面：54-58页
核心收录：
学科分类：090603[农学-临床兽医学] 0403[教育学-体育学] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 09[农学] 0906[农学-兽医学] 10[医学]
主 题：不愈合 骨折 固定治疗 手术治疗 内固定术 成年人 骨移植 松质骨
摘 要：A Hoffa fracture is an uncommon clinical entity typically seen in adults after high-energy trauma. Nonunion of a Hoffa fracture appears to be even more uncommon. To our knowledge, only three cases of nonunion of a Hoffa fracture have been documented in the literature to date, including two children and one adult. This article presents a case of an adult who had nonunion of a Hoffa fracture for 27 years and was treated by open reduction and internal fixation, and the varus deformity corrected with xenogenous bone graft. An excellent result has been achieved to date. This unusual case reminds us that we cannot neglect the possibility of nonunion of a cancellous bone fracture, especially the Hoffa fractures of the medial femoral condyle if they are treated nonoperatively. It also demonstrates that internal fixation with bone graft is effective, even for the 27-year Hoffa fracture.
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