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Hoffa fracture of medial unicondylar and bilateral in a man: a rare case.

Koné S, Bana A, Touré SA, Koné S, Allou AS, Kouassi AN, Koffi AG, Kouamé IM - Pan Afr Med J (2015)

Bottom Line: Intra articular Coronal fracture of the femoral condyle (Hoffa) is rare-especially that of medial condyle.At follow- up of 8-month functional score was excellent with normal flexion, an absence of laxity, an absence of pain and an unlimited market.Through a review of the literature the mechanism, the diagnostic methods and therapeutic will be analysed.

View Article: PubMed Central - PubMed

Affiliation: Service de Traumato-Orthopédie CHU de Cocody, Côte d'Ivoire.

ABSTRACT
Intra articular Coronal fracture of the femoral condyle (Hoffa) is rare-especially that of medial condyle. We report the case of a patient who had a bilateral Hoffa fracture of the medial condyles (type 33 - B3, Orthopaedic Trauma Association) occurred as a result of an accident at work (worker mover). Lesions were treated with the functional and orthopaedic approach. At follow- up of 8-month functional score was excellent with normal flexion, an absence of laxity, an absence of pain and an unlimited market. Through a review of the literature the mechanism, the diagnostic methods and therapeutic will be analysed.

No MeSH data available.


Related in: MedlinePlus

Control CT scan of right knee is highlighting a perfect consolidation of bone lesions. (A) coronal; (B) axial
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Figure 0006: Control CT scan of right knee is highlighting a perfect consolidation of bone lesions. (A) coronal; (B) axial

Mentions: According to AO classification [2] the lesion of condyles (Figure 1) was Type 33 -B3 and the lesion of left tibia plateau was type 41-C1. The patient support was primarily a functional method by a strict bed rest; knees were immobilized in knee braces. Locally we had carried out regular dressings and cry therapy. Also a treatment medical was associated with painkillers, of the anti-inflammatory and anticoagulant. Physiotherapy and maintains it muscle was carried out at the patient´s bed. Control scanners were regularly (J8 and J15) made, they did not show secondary displacement. After the healing of skin lesions, we had immobilized knees by the cruro-pedious resins for 04-week. At the end of this period, we proceed with the removal of the resin. The fact of removing is able to thaw the resumption of physical therapy for a period of 6 weeks. Note that the patient kept splints of knees outside the rehabilitation sessions. The market and on the members support him were banned until bony healing. One followed radio-clinic was undertaken externally every month until consolidation. The fuse was acquired in 3 half months. The control scanner is highlighting a perfect consolidation of bone lesions (Figure 6, Figure 7). At final follow- up of 8-month functional assessment of the patient score was excellent with normal flexion, an absence of laxity, an absence of pain and an unlimited market.


Hoffa fracture of medial unicondylar and bilateral in a man: a rare case.

Koné S, Bana A, Touré SA, Koné S, Allou AS, Kouassi AN, Koffi AG, Kouamé IM - Pan Afr Med J (2015)

Control CT scan of right knee is highlighting a perfect consolidation of bone lesions. (A) coronal; (B) axial
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4499274&req=5

Figure 0006: Control CT scan of right knee is highlighting a perfect consolidation of bone lesions. (A) coronal; (B) axial
Mentions: According to AO classification [2] the lesion of condyles (Figure 1) was Type 33 -B3 and the lesion of left tibia plateau was type 41-C1. The patient support was primarily a functional method by a strict bed rest; knees were immobilized in knee braces. Locally we had carried out regular dressings and cry therapy. Also a treatment medical was associated with painkillers, of the anti-inflammatory and anticoagulant. Physiotherapy and maintains it muscle was carried out at the patient´s bed. Control scanners were regularly (J8 and J15) made, they did not show secondary displacement. After the healing of skin lesions, we had immobilized knees by the cruro-pedious resins for 04-week. At the end of this period, we proceed with the removal of the resin. The fact of removing is able to thaw the resumption of physical therapy for a period of 6 weeks. Note that the patient kept splints of knees outside the rehabilitation sessions. The market and on the members support him were banned until bony healing. One followed radio-clinic was undertaken externally every month until consolidation. The fuse was acquired in 3 half months. The control scanner is highlighting a perfect consolidation of bone lesions (Figure 6, Figure 7). At final follow- up of 8-month functional assessment of the patient score was excellent with normal flexion, an absence of laxity, an absence of pain and an unlimited market.

Bottom Line: Intra articular Coronal fracture of the femoral condyle (Hoffa) is rare-especially that of medial condyle.At follow- up of 8-month functional score was excellent with normal flexion, an absence of laxity, an absence of pain and an unlimited market.Through a review of the literature the mechanism, the diagnostic methods and therapeutic will be analysed.

View Article: PubMed Central - PubMed

Affiliation: Service de Traumato-Orthopédie CHU de Cocody, Côte d'Ivoire.

ABSTRACT
Intra articular Coronal fracture of the femoral condyle (Hoffa) is rare-especially that of medial condyle. We report the case of a patient who had a bilateral Hoffa fracture of the medial condyles (type 33 - B3, Orthopaedic Trauma Association) occurred as a result of an accident at work (worker mover). Lesions were treated with the functional and orthopaedic approach. At follow- up of 8-month functional score was excellent with normal flexion, an absence of laxity, an absence of pain and an unlimited market. Through a review of the literature the mechanism, the diagnostic methods and therapeutic will be analysed.

No MeSH data available.


Related in: MedlinePlus