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低能创伤致同侧髌骨脱位的 Hoffa 骨折复位固定技术：罕见损伤 1 例报告。

Technique for Reduction and Fixation of a Hoffa Fracture with Ipsilateral Patella Dislocation from Low-Energy Trauma, a Rare Injury: A Case Report.

机构信息

Department of Orthopaedic Surgery, Virginia Commonwealth University Health Systems, Richmond, Virginia.

出版信息

JBJS Case Connect. 2020 Jan-Mar;10(1):e0250. doi: 10.2106/JBJS.CC.19.00250.

DOI:10.2106/JBJS.CC.19.00250
PMID:32224673
Abstract

CASE

A 25-year-old man sustained a right femur Hoffa fracture with an ipsilateral patella dislocation from a twisting injury to his right knee. He underwent open reduction and internal fixation of the right femur with medial patellofemoral ligament (MPFL) reconstruction with allograft. One year postoperatively, he had returned to full activity and painless range of motion.

CONCLUSION

Hoffa fracture associated with ipsilateral patella dislocation is a rare injury in young men and warrants judicious clinician awareness. The literature regarding management of this injury combination is minimal, and this report aids in awareness while providing an effective method for treatment.

摘要

病例

一名 25 岁男性因右膝扭转伤导致右侧股骨 Hoffa 骨折伴同侧髌骨脱位，接受了切开复位内固定及异体移植物重建内侧髌股韧带（MPFL）的手术治疗。术后 1 年，他已完全恢复活动，且膝关节活动范围无痛。

结论

年轻男性中股骨 Hoffa 骨折伴同侧髌骨脱位较为罕见，值得临床医生谨慎关注。目前针对这种损伤组合的治疗方法文献很少，本报告在提高认识的同时，提供了一种有效的治疗方法。

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引用本文的文献

1
The effect of screw orientation on internal fixation of Letenneur type II Hoffa fractures: a biomechanics study.螺钉方向对 Letenneur Ⅱ型 Hoffa 骨折内固定效果的影响：一项生物力学研究。
BMC Musculoskelet Disord. 2024 Feb 2;25(1):107. doi: 10.1186/s12891-024-07222-6.
2
Busch-Hoffa fracture: A systematic review.Busch-Hoffa 骨折：系统综述。
Medicine (Baltimore). 2023 Dec 1;102(48):e36161. doi: 10.1097/MD.0000000000036161.
3
Locking Plate Alone or in Combination with Cannulated Screws for Hoffa Fractures: A Retrospective Study.
单纯锁定钢板与空心螺钉治疗 Hoffa 骨折：一项回顾性研究。
Orthop Surg. 2022 Mar;14(3):492-500. doi: 10.1111/os.13201. Epub 2022 Jan 30.