Mohan Ravindra, Agarwal Rishabh, Abbas Mohammad Baqar, Kumar Sanjiv, Singh Arpit
Orthopedic Surgery, King George's Medical University, Lucknow, IND.
Orthopedic Surgery, Jawaharlal Nehru Medical College, Aligarh, IND.
Cureus. 2023 Sep 5;15(9):e44722. doi: 10.7759/cureus.44722. eCollection 2023 Sep.
Isolated Hoffa fractures of the femur are often missed on initial radiographic evaluations. Routine CT scans for intraarticular fractures in suburban populations are not routinely done. Nonunion of medial condyle Hoffa fracture of the distal femur is a rare finding and presents late with pain in weight-bearing and painful flexion. This is a case report of a 21-year-old male who sustained trauma as a result of a motorcycle-car collision and was managed elsewhere conservatively on an above-knee slab. He presented after five months to our side with a limited range of movement at the knee and pain during ambulation. After radiological work diagnosis of isolated non-union of medal condyle Hoffa fracture of the distal femur was made, the patient was managed by freshening of fracture followed by rigid fixation with cancellous screws and reconstruction plate. At postoperative six weeks, the patient had a painless full range of motion at the knee joint.
股骨孤立性霍法骨折在初次影像学评估时常常被漏诊。在郊区人群中，对于关节内骨折通常不会常规进行CT扫描。股骨远端内侧髁霍法骨折不愈合是一种罕见的情况，晚期表现为负重时疼痛和屈曲时疼痛。本文报告了一例21岁男性患者，因摩托车与汽车碰撞受伤，在其他地方接受了保守治疗，使用了膝上石膏托。五个月后，他来到我院，膝关节活动范围受限，行走时疼痛。经过影像学检查，诊断为股骨远端内侧髁霍法骨折孤立性不愈合，患者接受了骨折清创，随后用松质骨螺钉和重建钢板进行坚强固定。术后六周，患者膝关节无痛，活动范围正常。
