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CASE REPORT
Year : 2015  |  Volume : 15  |  Issue : 3  |  Page : 291-294

Hoffa fracture rehabilitation


1 Department of Orthopaedics, HIMSR, Jamia Hamdard, New Delhi, India
2 Department of Rehabilitation Sciences, HIMSR, Jamia Hamdard, New Delhi, India
3 Department of Radio Diagnosis, AIIMS, New Delhi, India

Correspondence Address:
Zuheb Ahmed Siddiqui
Department of Rehabilitation Sciences, 5th Floor, Central Library Building, HIMSR, Jamia Hamdard, New Delhi - 110 062
India
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DOI: 10.4103/1319-6308.164320

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Isolated coronal fractures of the femoral condyle called as Hoffa's fracture is an uncommon injury. Hoffa fractures occur following high energy trauma with a preponderance of lateral femoral condyle. A medial condyle Hoffa fracture is even rare with very few cases reported in the literature. A careful examination along with oblique radiographs and computed tomography scan is needed for an accurate diagnosis. Conservative management is associated with poor results due to continuous shear stresses imposed on the fracture. Surgical management with anatomical reduction and rigid fixation allows early functional rehabilitation. We report a case of 19-year-old female injured during a fall and suffered medial condyle Hoffa fracture. The fracture was fixed with cannulated cancellous screws. Physiotherapy was initiated early promoting early mobilization and decreasing the risk of complications although weight bearing was graduated. After 6 months, the patient demonstrated full motion at the knee with no complaints of instability and snapping.


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