TY - JOUR
T1 - Hoffa Nonunion, Two Cases Treated with Headless Compression Screws
AU - Somford, Matthijs Paul
AU - van Ooij, Bas
AU - Schafroth, Matthias U.
AU - Kloen, Peter
PY - 2013
Y1 - 2013
N2 - A coronal fracture of the distal femoral condyle is a rare entity and a nonunion even more so. The coronal fractures, also known as Hoffa fracture, more often involve the lateral than the medial condyle. Open reduction and internal fixation are the primary treatment of choice. We describe two cases of nonunion of a Hoffa fracture (one medial and one lateral). Although the nonunion fragment was not attached to any soft tissues in both cases the fragment was noted to be vital both clinically and histologically. After operative treatment, consisting of debridement, compression with use of headless screws, and liberal use of bone graft both nonunions healed. At latest follow-up, both patients had excellent function and reported no or minimal pain
AB - A coronal fracture of the distal femoral condyle is a rare entity and a nonunion even more so. The coronal fractures, also known as Hoffa fracture, more often involve the lateral than the medial condyle. Open reduction and internal fixation are the primary treatment of choice. We describe two cases of nonunion of a Hoffa fracture (one medial and one lateral). Although the nonunion fragment was not attached to any soft tissues in both cases the fragment was noted to be vital both clinically and histologically. After operative treatment, consisting of debridement, compression with use of headless screws, and liberal use of bone graft both nonunions healed. At latest follow-up, both patients had excellent function and reported no or minimal pain
U2 - https://doi.org/10.1055/s-0032-1319781
DO - https://doi.org/10.1055/s-0032-1319781
M3 - Article
C2 - 23288759
SN - 1538-8506
VL - 26
SP - S89-S93
JO - journal of knee surgery
JF - journal of knee surgery
IS - 1
ER -