Reddy Venkata Gurava, Mootha Aditya Krishna, Chiranjeevi T, Kantesaria Pareen
Sunshine Hospitals, Secunderabad, India.
J Orthop Case Rep. 2011 Oct-Dec;1(1):26-8.
Bicondylar Hoffa fracture is a rare injury with implant failure and non unions as known complications.
Two cases of Bicondylar Hoffa fractures with implant failure and nonunion treated successfully with long stem total knee arthroplasty are reported here. At a minimum follow up of 2 years both the implants were well fixed and the fractures have united. The knee society scores in both the patients improved from 14 and 19 to 86 and 82 respectively. To our knowledge there are no reports of such rare fractures managed successfully with non hinged arthroplasty.
A long stem total knee arthroplasty can be used as a treatment option in cases of nonunion bicondylar Hoffa fractures.
双髁霍法骨折是一种罕见的损伤,已知并发症包括植入物失败和骨不连。
本文报告两例双髁霍法骨折伴植入物失败和骨不连,经长柄全膝关节置换术成功治疗。至少随访2年,两枚植入物均固定良好,骨折已愈合。两名患者的膝关节协会评分分别从14分和19分提高到86分和82分。据我们所知,尚无使用非铰链式关节置换术成功治疗此类罕见骨折的报告。
长柄全膝关节置换术可作为双髁霍法骨折骨不连病例的一种治疗选择。