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İpsilateral proksimal tibia ve femur Hoffa kırığı

Year 2014, , 383 - 387, 03.09.2014
https://doi.org/10.3944/AOTT.2014.13.0154

Abstract

Amaç: Bu çalışmada ipsilateral proksimal tibia ve femur Hoffa kırığı nedeniyle cerrahi tedavi uyguladığımız hastaların sonuçlarını değerlendirmeyi amaçladık.

Çalışma planı: Trafik kazası sonucunda yaralanarak acil servisimize başvuran 9 hastada (8 kadın, 1 kadın; ort yaş: 30.9, dağılım: 19-49 yaş) aynı tarafta proksimal tibia ve Hoffa kırığı tespit edildi. Altı hastada açık kırık, iki hastada aynı taraf femur şaft kırığı, iki hastada distal interkondiler femur kırığı, bir hastada patella kırığı ve bir hastada ise tibia ve fibula kırığı vardı. Sekiz Hoffa kırığı lateral kondilde iken, bir kırık medial kondildeydi. Schatzker sınıflamasına göre 2 hastada tip II, 2 hastada tip VI, bir hastada tip I ve bir hastada da tip IV proksimal tibia kırığı vardı.

Bulgular: Takip süresi sonunda tüm kırıklar kaynadı. Kapalı ve açık kırıkların iyileşme süresi arasında anlamlı bir fark bulunmadı. Amerikan Diz Cemiyeti ortalama skorları 163 (dağılım: 127-182), eklem hareket açıklığı ortalaması 97.4° (dağılım: 75°-115°), pasif fleksiyon ortalaması 105° (dağılım: 9°-115°), ekstansiyon kısıtlılığı ortalaması 3° (dağılım: 0°-15°) olarak hesaplandı.

Çıkarımlar: Çalışmamız eklem içi Hoffa kırığı ve proksimal tibia kırıklarının tedavisinde anatomik redüksiyonla rijit fiksasyon ve erken mobilizasyonun tatminkar sonuçlar verdiğini göstermiştir.

References

  • Heuschen UA, Göhring U, Meeder PJ. Bilateral Hoffa fracture--a rarity. [Article in German] Aktuelle Traumatol 1994;24:83-6. [Abstract]
  • Nork SE, Segina DN, Aflatoon K, Barei DP, Henley MB, Holt S, et al. The association between supracondylarintercondylar distal femoral fractures and coronal plane fractures. J Bone Joint Surg Am 2005;87:564-9.
  • Gong YB, Li QS, Yang C, Li SQ, Liu JG, Qi X. Hoffa fracture associated with ipsilateral femoral shaft fracture: clinical feature and treatment. Chin J Traumatol 2011;14:376
  • Jain A, Agrawal P, Chadha M, Pankaj A. Hoffa fracture associated with femoral shaft and proximal tibial fractures: report of two cases. Chin J Traumatol 2012;15:367-9.
  • Holmes SM, Bomback D, Baumgaertner MR. Coronal fractures of the femoral condyle: a brief report of five cases. J Orthop Trauma 2004;18:316-9.
  • Calmet J, Mellado JM, García Forcada IL, Giné J. Open bicondylar Hoffa fracture associated with extensor mechanism injury. J Orthop Trauma 2004;18:323-5.
  • Papadopoulos AX, Panagopoulos A, Karageorgos A, Tyllianakis M. Operative treatment of unilateral bicondylar Hoffa fractures. J Orthop Trauma 2004;18:119-22.
  • Letenneur J, Labour PE, Rogez JM, Lignon J, Bainvel JV. Hoffa’s fractures. Report of 20 cases (author’s transl). [Article in French] Ann Chir 1978;32:213-9. [Abstract]
  • Lewis SL, Pozo JL, Muirhead-Allwood WF. Coronal fractures of the lateral femoral condyle. J Bone Joint Surg Br 1989;71:118-20.
  • Liebergall M, Wilber JH, Mosheiff R, Segal D. Gerdy’s tubercle osteotomy for the treatment of coronal fractures of the lateral femoral condyle. J Orthop Trauma 2000;14:214-5.
  • Ostermann PA, Neumann K, Ekkernkamp A, Muhr G. Long term results of unicondylar fractures of the femur. J Orthop Trauma 1994;8:142-6.
  • Jarit GJ, Kummer FJ, Gibber MJ, Egol KA. A mechanical evaluation of two fixation methods using cancellous screws for coronal fractures of the lateral condyle of the distal femur (OTA type 33B). J Orthop Trauma 2006;20:273-6.
  • Becker PL, Staford PR, Goulet R. Comparative analysis for the fixation of coronal distal intraarticu1ar femur fractures. Presented at the 67th annual meeting of the American Academy of Orthopaedic Surgeons 2000. p. 15-9.
  • Hak DJ, Nguyen J, Curtiss S, Hazelwood S. Coronal fractures of the distal femoral condyle: a biomechanical evaluation of four internal fixation constructs. Injury 2005;36:1103-6.
  • Chang JJ, Fan JC, Lam HY, Cheung KY, Chu VW, Fung KY. Treatment of an osteoporotic Hoffa fracture. Knee Surg Sports Traumatol Arthrosc 2010;18:784-6.
  • McCarthy JJ, Parker RD. Arthroscopic reduction and internal fixation of a displaced intraarticular lateral femoral condyle fracture of the knee. Arthroscopy 1996;12:224-7.

Concomitant ipsilateral proximal tibia and femoral Hoffa fractures

Year 2014, , 383 - 387, 03.09.2014
https://doi.org/10.3944/AOTT.2014.13.0154

Abstract

Objective: The aim of this study was to report our experience on concomitant ipsilateral proximal tibia and femoral Hoffa fractures.

Methods: Nine patients (8 male, 1 female; mean age: 30.9; range: 19-49 years) presented to our emergency room with an ipsilateral proximal tibia and femoral Hoffa fracture, following road traffic accident. Six patients had open fracture. Two patients had ipsilateral femoral shaft fracture, two patients had fracture of intercondylar part of distal femur, one had fracture of patella and one had fracture of both bones of the leg. Out of nine Hoffa’s fracture eight involved lateral and one involved medial femoral condyle. There were five type II, two type VI, one type I and one type IV proximal tibial fracture according to Schatzker classification.

Results: Mean duration of follow-up was 13 months (range: 9-21 months). At final follow-up, all fractures united. Mean knee society score was 163 (range: 127-182). Mean ROM at knee joint was 97.4 degrees (75°-115°).

Conclusion: Our results suggest that in this combination of intraarticular fractures anatomic reduction and rigid fixation followed by early mobilization reveal satisfactory results.

References

  • Heuschen UA, Göhring U, Meeder PJ. Bilateral Hoffa fracture--a rarity. [Article in German] Aktuelle Traumatol 1994;24:83-6. [Abstract]
  • Nork SE, Segina DN, Aflatoon K, Barei DP, Henley MB, Holt S, et al. The association between supracondylarintercondylar distal femoral fractures and coronal plane fractures. J Bone Joint Surg Am 2005;87:564-9.
  • Gong YB, Li QS, Yang C, Li SQ, Liu JG, Qi X. Hoffa fracture associated with ipsilateral femoral shaft fracture: clinical feature and treatment. Chin J Traumatol 2011;14:376
  • Jain A, Agrawal P, Chadha M, Pankaj A. Hoffa fracture associated with femoral shaft and proximal tibial fractures: report of two cases. Chin J Traumatol 2012;15:367-9.
  • Holmes SM, Bomback D, Baumgaertner MR. Coronal fractures of the femoral condyle: a brief report of five cases. J Orthop Trauma 2004;18:316-9.
  • Calmet J, Mellado JM, García Forcada IL, Giné J. Open bicondylar Hoffa fracture associated with extensor mechanism injury. J Orthop Trauma 2004;18:323-5.
  • Papadopoulos AX, Panagopoulos A, Karageorgos A, Tyllianakis M. Operative treatment of unilateral bicondylar Hoffa fractures. J Orthop Trauma 2004;18:119-22.
  • Letenneur J, Labour PE, Rogez JM, Lignon J, Bainvel JV. Hoffa’s fractures. Report of 20 cases (author’s transl). [Article in French] Ann Chir 1978;32:213-9. [Abstract]
  • Lewis SL, Pozo JL, Muirhead-Allwood WF. Coronal fractures of the lateral femoral condyle. J Bone Joint Surg Br 1989;71:118-20.
  • Liebergall M, Wilber JH, Mosheiff R, Segal D. Gerdy’s tubercle osteotomy for the treatment of coronal fractures of the lateral femoral condyle. J Orthop Trauma 2000;14:214-5.
  • Ostermann PA, Neumann K, Ekkernkamp A, Muhr G. Long term results of unicondylar fractures of the femur. J Orthop Trauma 1994;8:142-6.
  • Jarit GJ, Kummer FJ, Gibber MJ, Egol KA. A mechanical evaluation of two fixation methods using cancellous screws for coronal fractures of the lateral condyle of the distal femur (OTA type 33B). J Orthop Trauma 2006;20:273-6.
  • Becker PL, Staford PR, Goulet R. Comparative analysis for the fixation of coronal distal intraarticu1ar femur fractures. Presented at the 67th annual meeting of the American Academy of Orthopaedic Surgeons 2000. p. 15-9.
  • Hak DJ, Nguyen J, Curtiss S, Hazelwood S. Coronal fractures of the distal femoral condyle: a biomechanical evaluation of four internal fixation constructs. Injury 2005;36:1103-6.
  • Chang JJ, Fan JC, Lam HY, Cheung KY, Chu VW, Fung KY. Treatment of an osteoporotic Hoffa fracture. Knee Surg Sports Traumatol Arthrosc 2010;18:784-6.
  • McCarthy JJ, Parker RD. Arthroscopic reduction and internal fixation of a displaced intraarticular lateral femoral condyle fracture of the knee. Arthroscopy 1996;12:224-7.
There are 16 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Anuj Jain This is me

Prakash Aggarwal This is me

Amite Pankaj This is me

Publication Date September 3, 2014
Published in Issue Year 2014

Cite

APA Jain, A., Aggarwal, P., & Pankaj, A. (2014). Concomitant ipsilateral proximal tibia and femoral Hoffa fractures. Acta Orthopaedica Et Traumatologica Turcica, 48(4), 383-387. https://doi.org/10.3944/AOTT.2014.13.0154
AMA Jain A, Aggarwal P, Pankaj A. Concomitant ipsilateral proximal tibia and femoral Hoffa fractures. Acta Orthopaedica et Traumatologica Turcica. September 2014;48(4):383-387. doi:10.3944/AOTT.2014.13.0154
Chicago Jain, Anuj, Prakash Aggarwal, and Amite Pankaj. “Concomitant Ipsilateral Proximal Tibia and Femoral Hoffa Fractures”. Acta Orthopaedica Et Traumatologica Turcica 48, no. 4 (September 2014): 383-87. https://doi.org/10.3944/AOTT.2014.13.0154.
EndNote Jain A, Aggarwal P, Pankaj A (September 1, 2014) Concomitant ipsilateral proximal tibia and femoral Hoffa fractures. Acta Orthopaedica et Traumatologica Turcica 48 4 383–387.
IEEE A. Jain, P. Aggarwal, and A. Pankaj, “Concomitant ipsilateral proximal tibia and femoral Hoffa fractures”, Acta Orthopaedica et Traumatologica Turcica, vol. 48, no. 4, pp. 383–387, 2014, doi: 10.3944/AOTT.2014.13.0154.
ISNAD Jain, Anuj et al. “Concomitant Ipsilateral Proximal Tibia and Femoral Hoffa Fractures”. Acta Orthopaedica et Traumatologica Turcica 48/4 (September 2014), 383-387. https://doi.org/10.3944/AOTT.2014.13.0154.
JAMA Jain A, Aggarwal P, Pankaj A. Concomitant ipsilateral proximal tibia and femoral Hoffa fractures. Acta Orthopaedica et Traumatologica Turcica. 2014;48:383–387.
MLA Jain, Anuj et al. “Concomitant Ipsilateral Proximal Tibia and Femoral Hoffa Fractures”. Acta Orthopaedica Et Traumatologica Turcica, vol. 48, no. 4, 2014, pp. 383-7, doi:10.3944/AOTT.2014.13.0154.
Vancouver Jain A, Aggarwal P, Pankaj A. Concomitant ipsilateral proximal tibia and femoral Hoffa fractures. Acta Orthopaedica et Traumatologica Turcica. 2014;48(4):383-7.