title: Arthroscopy-assisted treatment of Hoffa fracture associated with ipsilateral femoral shaft, tibial eminence and Malgaigne fractures.
abstract: Hoffa fracture associated with ipsilateral femoral shaft fractures is a rare clinical entity. We present a previously unreported multi-trauma case with a unique fracture combination of ipsilateral Hoffa, tibial eminence, femoral shaft and Malgaigne fractures. The Malgaigne fracture was treated non-operatively while the other three fractures were operated with arthroscopic and assisted techniques. Despite the use of minimally invasive techniques, the patient experienced postoperative soft tissue problems. In follow-up, all fractures healed with a good functional outcome. The application of a minimally invasive technique in such a high-energy trauma is crucial for prevention of soft tissue complications.
authors.affiliation: Medeniyet University Göztepe Training and Research Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey.
authors.forename: Kaya
authors.initials: K
authors.lastname: Akan
authors.affiliation: Acıbadem University, Department of Orthopedics and Traumatology, Istanbul, Turkey.
authors.forename: Umut
authors.initials: U
authors.lastname: Akgün
authors.affiliation: Medeniyet University Göztepe Training and Research Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey.
authors.forename: Oguz
authors.initials: O
authors.lastname: Poyanlı
authors.affiliation: Medivia Hospital, Department of Orthopedics and Traumatology, Istanbul, Turkey.
authors.forename: Koray
authors.initials: K
authors.lastname: Ünay
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D015601:Injury Severity Score; D007718:Knee Injuries / Q000000981:diagnostic imaging* / Q000601:surgery*; D008592:Menisci, Tibial / Q000000981:diagnostic imaging* / Q000601:surgery; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D018570:Risk Assessment; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome