title: Surgical management of complex intra-articular distal femoral and bicondylar Hoffa fracture.
abstract: Bicondylar Hoffa's fractures of distal femur are rare. We report the case of an 18-year-old male who sustained a closed complex fracture of both femoral condyles of the left femur on the sagittal plane (Hoffa fracture), combined with distal metaphyseal fracture. He was treated using parallel plates and interdigitating screws, with our technique based on an extrapolation of the principles of distal humerus fixation. The fracture united clinically and radiologically at 16 weeks. Twelve months postoperatively, the range of movement in the knee was 5°-115°. In this complex case, our technique provided stable fixation of the fragments and a satisfactory final functional outcome.
authors.affiliation: Cambridge University Hospitals NHS Foundation Trust , Cambridge , UK.
authors.forename: D
authors.initials: D
authors.lastname: Giotikas
authors.affiliation: Cambridge University Hospitals NHS Foundation Trust , Cambridge , UK.
authors.forename: M
authors.initials: M
authors.lastname: Nabergoj
authors.affiliation: Cambridge University Hospitals NHS Foundation Trust , Cambridge , UK.
authors.forename: M
authors.initials: M
authors.lastname: Krkovic
mesh_terms: D000293:Adolescent; D001860:Bone Plates; D001863:Bone Screws; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D000069076:Fractures, Multiple / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography
keywords: Distal femur; Fracture; Hoffa; Internal fixation; Knee