小儿双髁霍法骨折的挑战性诊断与处理：一例报告
The Challenging Diagnosis and Management of a Pediatric Bicondylar Hoffa Fracture: A Case Report.
作者信息
Khassoui Amine El, Touraif Mariem, Tahiri Driss, Salama Tarik, Aghoutane El Mouhtadi, Fezzazi Redouane El
机构信息
Department of Pediatric Orthopedic, Mother and Child Unit, University Hospital Mohamed VI of Marrakech, Faculty of Medecine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco.
出版信息
J Orthop Case Rep. 2024 May;14(5):136-140. doi: 10.13107/jocr.2024.v14.i05.4462.
INTRODUCTION
Hoffa fractures are uncommon fractures in adults and less common in children. They are defined as fractures of the femoral condyles that occur in the coronal planes. To this day, Hoffa fractures in children comprise only of case reports.
CASE REPORT
Our case report is focused on a 12-year-old patient victim of a high-impact trauma causing a bicondylar Hoffa fracture. The diagnosis was based on an X-ray in front and lateral views and confirmed by a computed tomography scan and 3D reconstructions. A screw fixation truth open reduction with a lateral approach. We report the satisfactory results of our case after a 24-month follow-up with a good range of motion.
CONCLUSION
To avoid necrosis of the fragment, pain and stiffness at long-term follow-up make the management of this fracture a serious challenge, and in the pediatric population, the prevention of growth cartilage injuries is crucial to accurate management.
引言
霍法骨折在成人中并不常见，在儿童中更为罕见。它们被定义为发生在冠状面的股骨髁骨折。迄今为止，儿童霍法骨折仅有病例报告。
病例报告
我们的病例报告聚焦于一名12岁的患者，其因高能量创伤导致双髁霍法骨折。诊断基于前后位和侧位X线片，并通过计算机断层扫描和三维重建得以证实。采用外侧入路切开复位螺钉固定。我们报告了该病例在24个月随访后获得满意结果，关节活动范围良好。
结论
为避免骨折块坏死，长期随访中的疼痛和僵硬使得这种骨折的治疗成为一项严峻挑战，而在儿科人群中，预防生长软骨损伤对于准确治疗至关重要。
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