Isolated Hoffa fracture of the medial femoral condyle in a skeletally immature patient.

Abstract

Intraarticular coronal fracture of the femoral condyle is rare, and an isolated medial Hoffa fracture in a child is extremely rare. To our knowledge, such a case has not yet been reported in the literature. Early diagnosis and prompt treatment are essential for a good long-term outcome. We report a case of 12-year-old male who suffered a traffic accident and sustained an isolated medial Hoffa fracture. Open reduction was performed using a subvastus approach and the joint surface congruity restored and secured by two large fragment partially threaded screws placed from anterior to posterior in the epiphysis. At the 36-month follow-up, the fracture was united, and the patient had full extension and approximately 130° flexion of knee. There was no varus or valgus instability or limb length discrepancy. This case highlights the importance of early diagnosis and prompt treatment in the form of epiphyseal fixation for the management of these fractures in skeletally immature individuals.