Jiang Zu-Xin, Wang Pan, Ye Shun-Xin, Xie Xiao-Ping, Wang Chun-Xiu, Wang Yue
Department of Orthopaedics, No. 2 People's Hospital of Yibin City, Yibin 644000, Sichuan Province, China.
Department of Oncology, No. 2 People's Hospital of Yibin City, Yibin 644000, Sichuan Province, China.
World J Clin Cases. 2022 Feb 6;10(4):1410-1416. doi: 10.12998/wjcc.v10.i4.1410.
Hoffa fracture is rare, especially in adolescents, and has a high rate of complications such as avascular necrosis and osteoarthritis; moreover, there are no definitive guidelines for its treatment. This report could provide a new potential treatment for Hoffa fracture.
A 16-year-old girl presented to the orthopedic emergency department of No. 2 People's Hospital of Yibin City with persistent pain following a right knee injury sustained during a sprint race. Her knee was swollen and tender, and the range of motion was restricted by the pain. X-ray and computed tomography revealed a Hoffa fracture in the right knee. After consultation, surgical treatment was performed, and the fracture was fixed with three 3.5-mm cannulated cancellous screws; osteochondral plugs that were harvested from the screw insertion site were re-implanted to cover the screw head. The patient's fracture and osteochondral plug healed 6 mo postoperatively, and she presented a knee range of motion of 0-135 without pain, and was walking without support with a normal gait.
Here, we describe an innovative surgical procedure for Hoffa fracture that could provide a new possibility for the treatment of similar fractures, and further improve their management.
Hoffa骨折较为罕见，尤其是在青少年中，并且具有较高的并发症发生率，如缺血性坏死和骨关节炎；此外，对于其治疗尚无明确的指南。本报告可为Hoffa骨折提供一种新的潜在治疗方法。
一名16岁女孩因在短跑比赛中右膝受伤后持续疼痛，就诊于宜宾市第二人民医院骨科急诊。她的膝关节肿胀且压痛，活动范围因疼痛而受限。X线和计算机断层扫描显示右膝Hoffa骨折。经会诊后进行了手术治疗，用3枚3.5毫米空心松质骨螺钉固定骨折；从螺钉插入部位获取的骨软骨栓被重新植入以覆盖螺钉头。患者术后6个月骨折和骨软骨栓愈合，膝关节活动范围为0至135度，无疼痛，无需支撑可正常步态行走。
在此，我们描述了一种针对Hoffa骨折的创新手术方法，可为类似骨折的治疗提供新的可能性，并进一步改善其治疗效果。
