Tripathy Sujit Kumar, Aggarwal Aditya, Patel Sandeep, Goyal Tarun, Priya Nitesh
Department of Orthopaedics, Friarage Hospital, Northallerton, UK.
J Pediatr Orthop B. 2013 Jul;22(4):339-43. doi: 10.1097/BPB.0b013e328354f6e2.
The clinical presentations and surgical outcome of a 4-month-old Hoffa fracture in a 12-year-old child are reported. The child presented with chronic pain, swelling and instability in the right knee joint. Lateral radiograph showed a small bone fragment on the posterior condyle, which raised the possibility of a fracture. Computed tomographic scan and MRI clearly delineated the coronal plane fracture of the lateral femoral condyle that had spared the physeal cartilage. The fracture was accessed through the posterolateral approach to the knee; the fragment was anatomically reduced and fixed with two partially threaded cancellous screws. Radiographic union was observed after 3 months, and after 2 years of follow-up, the child had excellent functional outcome.
报告了一名12岁儿童4个月大的霍法骨折的临床表现及手术结果。该患儿右膝关节出现慢性疼痛、肿胀和不稳定。外侧X线片显示后髁有一小骨块，提示骨折可能。计算机断层扫描和磁共振成像清晰显示外侧股骨髁冠状面骨折，未累及骨骺软骨。通过膝关节后外侧入路显露骨折；将骨块解剖复位，并用两枚半螺纹松质骨螺钉固定。3个月后见影像学骨愈合，随访2年，患儿功能预后良好。
