Undiagnosed Hoffa fracture of medial femoral condyle presenting as chronic pain in a post-polio limb

作     者：Aditya Krishna Mootha Priyanka Majety Vishal Kumar 

作者机构：Department of Orthopaedics Siddhartha HospitalKakinada Andhra Pradesh India Department of Orthopaedics Postgraduate Institute ofMedical Education & Research Chandigarh India 

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

年 卷 期：2014年第17卷第3期

页      面：180-182页

核心收录：

学科分类：0403[教育学-体育学] 1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Femoral fractures Poliomyelitis Fracture fixation, internal 

摘      要：Isolated coronal fracture of medial femoral condyle with intact lateral femoral condyle is extremely rare. A high index of suspicion is necessary for early diagnosis especially in cases of undisplaced fractures. Here we report a case of medial Hoffa fracture in a post-polio limb presenting as chronic pain. Management of such fractures in limbs affected by late sequelae of poliomyelitis is particularly problematic in view of osteoporosis and osseous hypoplasia. The fracture was approached through medial parapatellar arthrotomy and fixation was done with cannulated cancellous screws in anteroposterior direction. Union was achieved at 16 weeks.