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双髁霍法骨折合并内外侧副韧带撕脱:一例报告。

Bicondylar Hoffa fracture with concurrent medial and lateral collateral ligament avulsion: A case report.

作者信息

Noorigaravand Sajad, Heidari Razieh, Tayyebi Hamed, Shirvani Saeid, Amiri Shayan

机构信息

Assistant professor of orthopedic surgery Shohadaye Haftom-e-Tir Hospital, school of medicine, Iran University of Medical Sciences Tehran Iran.

Department of radiology Iran university of medical sciences Tehran Iran.

出版信息

Clin Case Rep. 2023 Jun 2;11(6):e7466. doi: 10.1002/ccr3.7466. eCollection 2023 Jun.

DOI:10.1002/ccr3.7466
PMID:37273675
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10238703/
Abstract

Hoffa fractures are rare fractures of the femoral condyle that occur in the coronal plane of the bone. In most cases, high-energy trauma leads to isolated coronal fractures of one of the femoral condyles, medial or lateral. Even with a typical unicondylar Hoffa fracture, our patient sustained a bicondylar Hoffa fracture in his right knee after falling from high and suffering direct trauma as well. The fracture was approached from both the medial and lateral sides of the distal femur. Three-month follow-up showed excellent functional scores, no laxity, and no pain.

摘要

霍法骨折是发生在股骨髁冠状面的罕见骨折。在大多数情况下,高能量创伤会导致股骨内侧或外侧髁之一出现孤立的冠状面骨折。即使是典型的单髁霍法骨折,我们的患者从高处坠落并遭受直接创伤后,右膝仍发生了双髁霍法骨折。通过股骨远端的内侧和外侧入路对骨折进行处理。三个月的随访显示功能评分优异,无松弛,无疼痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17bf/10238703/7b829f801b54/CCR3-11-e7466-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17bf/10238703/e779eda774df/CCR3-11-e7466-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17bf/10238703/de33f473305f/CCR3-11-e7466-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17bf/10238703/22f908246d63/CCR3-11-e7466-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17bf/10238703/e8ed5a1595fd/CCR3-11-e7466-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17bf/10238703/7b829f801b54/CCR3-11-e7466-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17bf/10238703/e779eda774df/CCR3-11-e7466-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17bf/10238703/de33f473305f/CCR3-11-e7466-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17bf/10238703/22f908246d63/CCR3-11-e7466-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17bf/10238703/e8ed5a1595fd/CCR3-11-e7466-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/17bf/10238703/7b829f801b54/CCR3-11-e7466-g002.jpg

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引用本文的文献

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The Significance of Fragmentation Among Bicondylar Hoffa Fractures - Case Series of Three Fractures and Review of Literature.双髁Hoffa骨折中骨折块碎裂的意义——三例骨折病例系列及文献综述
Indian J Orthop. 2025 Apr 19;59(6):853-860. doi: 10.1007/s43465-025-01358-w. eCollection 2025 Jun.

本文引用的文献

1
A proposed radiological classification system of Hoffa's fracture based on fracture configuration and consequent optimal treatment strategy along with the review of literature.基于骨折形态及相应最佳治疗策略的Hoffa骨折放射学分类系统的提议及文献综述。
SICOT J. 2019;5:18. doi: 10.1051/sicotj/2019016. Epub 2019 Jun 7.
2
Coronal plane partial articular fractures of the distal femoral condyle: current concepts in management.股骨远端冠状面关节内部分骨折:治疗的新概念。
Bone Joint J. 2013 Sep;95-B(9):1165-71. doi: 10.1302/0301-620X.95B9.30656.
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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.
4
Surgical treatment of lateral Hoffa fracture with a locking plate through the lateral approach.经外侧入路使用锁定钢板治疗外侧Hoffa骨折
Eur J Orthop Surg Traumatol. 2014 May;24(4):587-92. doi: 10.1007/s00590-013-1224-z. Epub 2013 Apr 25.
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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.