title: A rare case of bicondylar Hoffa fracture associated with ipsilateral tibial spine avulsion and extensor mechanism disruption.
abstract: Intra-articular coronal fractures (Hoffas fractures) of distal femur are rare. Although bicondylar involvement in these fractures has been reported in the literature in association with high velocity traumata, the occurrence of these fractures involving extensor mechanism rupture and avulsion of ipsilateral tibial spine is extremely rare. To our acquaintance, such a fracture pattern has not yet been reported in the literature so far. In this article, we report one such case and discuss the importance of early diagnosis and prompt internal fixation in the management of such cases.We believe that these rare combinations of injuries should be treated aggressively by early open reduction and anatomic rigid internal fixation in order to achieve good recovery of function.
authors.affiliation: Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India.
authors.forename: Kamal
authors.initials: K
authors.lastname: Bali
authors.forename: Aditya-Krishna
authors.initials: AK
authors.lastname: Mootha
authors.forename: Vibhu
authors.initials: V
authors.lastname: Krishnan
authors.forename: Vishal
authors.initials: V
authors.lastname: Kumar
authors.forename: Saurabh
authors.initials: S
authors.lastname: Rawall
authors.forename: Vijay
authors.initials: V
authors.lastname: Goni
mesh_terms: D005264:Femoral Fractures / Q000601:surgery; D005269:Femur; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone; D006801:Humans; D007718:Knee Injuries / Q000601:surgery; D013977:Tibia; D013978:Tibial Fractures / Q000601:surgery