Goel Anshul, Sabat Dhananjaya, Agrawal Pritam
Senior Resident, Department of Orthopaedics, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.
Assistant Professor, Department of Orthopaedics, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India.
J Clin Orthop Trauma. 2016 Jan-Mar;7(1):61-5. doi: 10.1016/j.jcot.2015.08.005. Epub 2015 Sep 26.
Medial condyle Hoffa fractures are intra articular injuries, which require prompt anatomical reduction and internal fixation. Arthroscopy-guided fixation of these fractures has also been advocated; the advantages include avoidance of soft tissue dissection, fast recovery and mobilization. We describe a case of a 28-year-old male patient presenting with a 10-day-old medial condylar Hoffa fracture. Skin condition prevented from conventional open reduction and internal fixation; hence, taking note of the urgency of fixation of an intraarticular fracture, arthroscopic-assisted minimally invasive approach was performed with good outcome.
股骨内侧髁Hoffa骨折是关节内损伤，需要及时进行解剖复位和内固定。也有人主张对这些骨折进行关节镜引导下固定；其优点包括避免软组织剥离、恢复快和可早期活动。我们描述了一例28岁男性患者，其股骨内侧髁Hoffa骨折已有10天。皮肤状况不适合进行传统的切开复位内固定；因此，考虑到关节内骨折固定的紧迫性，采用关节镜辅助微创方法进行治疗，效果良好。
