How do you find the surgical approach in a Hoffa fracture?

Published by Charlie Davidson on

How do you find the surgical approach in a Hoffa fracture?

At present, CT scans with 2D and 3D reconstruction are the gold standard for investigation of Hoffa fractures. Scans can be used to identify the size of the fracture, the fracture plane, and comminution, three characteristics which are crucial for surgical treatment planning.

How long does it take for a fractured femoral condyle to heal?

Recovery. Most femoral shaft fractures take 3 to 6 months to completely heal. Some take even longer, especially if the fracture was open or broken into several pieces or if the patient uses tobacco products.

What is femoral condyle fracture?

What is a fracture of the femoral condyle? A femoral condyle is the ball-shape located at the end of the femur (thigh bone). There are two condyles on each leg known as the medial and lateral femoral condyles. If there is a fracture (break) in part of the condyle, this is known as a fracture of the femoral condyle.

How is femoral condyle fracture treated?

Femoral medial condyle fracture is a rare fracture. As with any articular injury, anatomical restoration of the joint surface must be obtained, then lag screw fixation is required. In fractures with a vertical fracture line, a buttress plate is necessary to counteract the vertical shear forces.

How long does a knee hairline fracture take to heal?

Your doctor may recommend that you use crutches to keep weight off an injured foot or leg. You can also wear protective footwear or a cast. Because it usually takes up to six to eight weeks to completely heal from a hairline fracture, it’s important to modify your activities during that time.

What is Lover’s fracture?

Lover’s fracture, also known as Don Juan fracture or Casanova fracture is a type of calcaneal fracture. They are fractures of the calcaneal body and may be intra- or extra-articular.

Is the lateral femoral condyle weight bearing?

Complications of patellar dislocation include osteochondral injury of the lateral femoral condyle and patella. Most cases of osteochondral injury occur in the anterior region, which is the non-weight-bearing portion of the lateral femoral condyle.

What kind of fractures are called Hoffa fractures?

Hoffa Fractures. Partial articular, coronal plane fractures of the posterior part of femoral condyles are called Hoffa fractures. It was first described by Albert Hoffa; a German surgeon in 1904. They are rare and account for less than 1% of distal femoral fractures. In one study on supracondylar intercondylar fractures of distal femur,…

What are Hoffa fractures of the femoral condyle?

Background: Hoffa fractures are coronal-plane fractures of the femoral condyle, which are rarer than sagittal-plane condylar fractures. This study aimed to systematically review the clinical knowledge base of Hoffa fractures to facilitate the diagnosis and management of such injuries.

What should I do if I have a Hoffa fracture?

1 Supine position on a radiolucent table. 2 Tourniquet optional. 3 Knee flexed to 30 0 degrees with a cushion or rolled towels behind the knee. 4 Anterior midline incision. 5 Develop medial skin flap protecting the infrapatellar branch of saphenous nerve. 6 (more items)

Can a Hoffa fracture lead to an anterior cruciate ligament reconstruction?

Reconstruction of the anterior cruciate ligament of the knee joint can lead to iatrogenic Hoffa fracture. In anterior cruciate ligament reconstruction, an anterior medial approach to the femoral tunnel allows restoration of the position of the tendon graft and increases rotation stability when an expanded bone tunnel is used for the graft.

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