Iwai Takao, Hamada Masayuki, Miyama Takahide, Shino Konsei
Department of Orthopedic Sports Medicine, Hoshigaoka Koseinenkin Hospital, 4-8-1 Hoshigaoka Hirakata, Osaka 573-8511, Japan.
Sports Med Arthrosc Rehabil Ther Technol. 2012 Aug 7;4(1):28. doi: 10.1186/1758-2555-4-28.
Hoffa fracture, an isolated coronal plane fracture of the posterior aspect of the femoral condyle, is known as an unstable, intra-articular fracture, and therefore, operative treatment is recommended. However, insufficient open reduction or failure of fixation may lead to malunion. We performed intra-articular corrective osteotomy for a malunited Hoffa fracture in a 31-year-old man and obtained good functional and radiographic results. This report suggests that intra-articular corrective osteotomy for malunited Hoffa fracture offers a good outcome and should be considered as salvage treatment.
霍法骨折是股骨髁后部孤立的冠状面骨折，是一种不稳定的关节内骨折，因此建议进行手术治疗。然而，切开复位不充分或固定失败可能导致骨不连。我们对一名31岁男性的霍法骨折骨不连患者进行了关节内矫正截骨术，获得了良好的功能和影像学结果。本报告表明，霍法骨折骨不连的关节内矫正截骨术效果良好，应被视为挽救治疗方法。
