Late Hoffa fracture of the lateral femoral condyle in an ACL reconstructed knee

IF 0.2 Q4 EMERGENCY MEDICINE Trauma monthly Pub Date : 2021-06-01 DOI:10.30491/TM.2021.272622.1241
S. Murali, S. Madi, Arvind Umarani, V. Pandey
{"title":"Late Hoffa fracture of the lateral femoral condyle in an ACL reconstructed knee","authors":"S. Murali, S. Madi, Arvind Umarani, V. Pandey","doi":"10.30491/TM.2021.272622.1241","DOIUrl":null,"url":null,"abstract":"A 33-year-old male sustained Hoffa fracture of the lateral femoral condyle 10 months after arthroscopic reconstruction of the anterior cruciate ligament in the same knee. The ligament had been reconstructed with autologous, quadrupled hamstring graft and was anchored in the femoral tunnel with a cortical suspensory device. As the fracture line did not involve the femoral tunnel, the ACL graft was spared, and the fracture was managed by open reduction and internal fixation. Fracture union was achieved by 6 months and the patient recovered uneventfully. At the 5- year follow-up, the patient had a stable pain-free knee. This case report highlights the possibility of late lateral femoral condyle Hoffa fracture treatment via arthroscopic ACL reconstruction without extra-articular tenodesis and despite taking adequate intra-operative precautions during tunnel drilling and using a cortical suspensory device for anchoring the graft on the femoral side.","PeriodicalId":23249,"journal":{"name":"Trauma monthly","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Trauma monthly","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.30491/TM.2021.272622.1241","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0

Abstract

A 33-year-old male sustained Hoffa fracture of the lateral femoral condyle 10 months after arthroscopic reconstruction of the anterior cruciate ligament in the same knee. The ligament had been reconstructed with autologous, quadrupled hamstring graft and was anchored in the femoral tunnel with a cortical suspensory device. As the fracture line did not involve the femoral tunnel, the ACL graft was spared, and the fracture was managed by open reduction and internal fixation. Fracture union was achieved by 6 months and the patient recovered uneventfully. At the 5- year follow-up, the patient had a stable pain-free knee. This case report highlights the possibility of late lateral femoral condyle Hoffa fracture treatment via arthroscopic ACL reconstruction without extra-articular tenodesis and despite taking adequate intra-operative precautions during tunnel drilling and using a cortical suspensory device for anchoring the graft on the femoral side.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
前交叉韧带重建膝关节股骨外侧髁晚期Hoffa骨折
一例33岁男性患者在同侧膝关节经关节镜重建前交叉韧带10个月后发生股骨外侧髁Hoffa骨折。该韧带采用自体四肢腘绳肌腱移植物重建,并用皮质悬吊装置固定在股骨隧道中。由于骨折线未累及股骨隧道,因此保留了ACL移植物,并通过切开复位和内固定治疗骨折。6个月骨折愈合,患者顺利康复。在5年的随访中,患者的膝关节稳定无痛。本病例报告强调了通过关节镜下前交叉韧带重建治疗晚期股骨外侧髁Hoffa骨折的可能性,无需关节外肌腱固定术,尽管在隧道钻孔过程中采取了充分的术中预防措施,并使用皮质悬置装置将移植物锚定在股侧。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Trauma monthly
Trauma monthly EMERGENCY MEDICINE-
CiteScore
0.60
自引率
0.00%
发文量
0
期刊最新文献
Anatomical Dimensions of the Anterior Column of the Acetabulum with Imaging Criteria in Patients with Surgical Acetabular Fractures Mortality Prediction in Multiple Trauma Patients Using GAP, RTS and NTS Models The effect of Pregabalin on morphine consumption, sleep, mood and ability to change position after colorectal cancer surgery Titanium Elastic Nailing System, An Effective Way Of Pediatric Forearm Fracture Management Diagnostic Salivary Biomarkers in Traumatic Brain Injury
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1