采用无头加压螺钉成功治疗双髁Hoffa骨折。

Lee Sang Yang, Niikura Takahiro, Iwakura Takashi, Sakai Yoshitada, Kuroda Ryosuke, Kurosaka Masahiro

Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan.

Case Rep Orthop. 2014;2014:139897. doi: 10.1155/2014/139897. Epub 2014 Jul 16.

Bicondylar coronal plane fracture, eponymically named Hoffa fractures, is an extremely rare injury. We present a case of isolated unilateral bicondylar Hoffa fracture that was successfully treated with open reduction and internal fixation using headless compression screws with satisfactory results. We inserted posteroanteriorly oriented Acutrak screws perpendicular to the fracture plane via lateral parapatellar arthrotomy, which provided excellent compression across the fracture.

双髁冠状面骨折，即霍法骨折，是一种极为罕见的损伤。我们报告一例孤立性单侧双髁霍法骨折病例，采用无头加压螺钉切开复位内固定成功治疗，效果满意。我们通过外侧髌旁关节切开术，垂直于骨折平面从前向后置入Acutrak螺钉，在骨折处提供了良好的加压效果。