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双髁联合霍法骨折伴髌骨嵌入骨折:一例罕见病例报告。

Bicondylar conjoint Hoffa's fracture with patella entrapped in the fracture: A rare case report.

作者信息

Harna Bushu, Dutt Dwivedi Divyanshu, Pippal Hemant Kumar, Sabat Dhananjaya

机构信息

Dept of Orthopedics, Maulana Azad Medical College, New Delhi, India.

出版信息

J Clin Orthop Trauma. 2018 Jun;9(Suppl 2):S35-S38. doi: 10.1016/j.jcot.2017.08.015. Epub 2017 Aug 24.

Abstract

Bicondylar Hoffa fracture involving both the femoral condyles is a rare injury. Conjoint variety with intact bone bridge between condyles in intercondylar notch area is even rare. We report a conjoint variety of bicondylar open grade III A Hoffa's fracture with patella entrapped in the fracture with quadriceps rupture in an adult which was surgically treated with initial debridement and later open reduction with fixation and quadriceps repair. The final outcome at 1 year post injury is satisfactory. To the best of our knowledge, no such case has been reported till date in English literature.

摘要

累及双侧股骨髁的双髁型霍法骨折是一种罕见的损伤。髁间切迹区域双侧髁之间有完整骨桥相连的联合型骨折更为罕见。我们报告了一例成人双髁开放性ⅢA 级霍法骨折的联合型病例,髌骨嵌入骨折处,股四头肌断裂,最初进行了清创术,随后进行切开复位内固定及股四头肌修复手术治疗。伤后1年的最终结果令人满意。据我们所知,迄今为止英文文献中尚无此类病例报道。

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本文引用的文献

2
Bicondylar Hoffa's fracture with patellar dislocation - a rare case.双髁型Hoffa骨折合并髌骨脱位——1例罕见病例
J Clin Orthop Trauma. 2014 Mar;5(1):38-41. doi: 10.1016/j.jcot.2014.02.001. Epub 2014 Mar 11.
5
Conjoint bicondylar Hoffa fracture in an adult.成人双髁联合霍法骨折
Indian J Orthop. 2013 May;47(3):302-6. doi: 10.4103/0019-5413.111509.
8
Hoffa fracture in a 14-year-old.一名14岁患者的霍法骨折。
Orthopedics. 2011 Jan 1;34(2):138. doi: 10.3928/01477447-20101221-30.
10
Coronal fractures of the lateral femoral condyle.股骨外侧髁冠状面骨折。
J Bone Joint Surg Br. 1989 Jan;71(1):118-20. doi: 10.1302/0301-620X.71B1.2914979.

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