Soni Ashwani, Sen Ramesh K, Saini Uttam Chand, Singh Dajjit, Chaudhary Sushil
Department of Orthopedics, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
Chin J Traumatol. 2012;15(4):238-40.
Hoffa fracture is an uncommon injury. In the literature, lateral condylar Hoffa fracture is mentioned as a more common injury pattern than medial condylar Hoffa fracture. The mechanism of injury and method of treatment is not very well described in the literature. We are presenting a rare case of comminuted medial condylar Hoffa fracture with ipsilateral patellar fracture. The mechanism of injury has not been described in the literature. Lag screw fixation, which is the most acceptable method of treatment, is not possible due to comminution. We explain the possible mechanism of injury and fix the fracture with L-buttress plate.
霍法骨折是一种罕见的损伤。在文献中，外侧髁霍法骨折被提及为比内侧髁霍法骨折更常见的损伤类型。文献中对损伤机制和治疗方法的描述并不十分充分。我们报告一例罕见的伴有同侧髌骨骨折的粉碎性内侧髁霍法骨折病例。文献中未描述其损伤机制。由于骨折粉碎，最常用的拉力螺钉固定治疗方法无法实施。我们解释了可能的损伤机制，并使用L形支撑钢板固定骨折。
