Hoffa fracture: should precautions be taken during fixation and rehabilitation?

PL Cheng, SH Choi, YC Hsu
Department of Orthopaedics and Traumatology, Princess Margaret Hospital, Laichikok, Kowloon, Hong Kong

A coronal fracture of a femoral condyle (Hoffa fracture) is an unusual injury and there are only a handful of reports discussing it. We report a case of a 52-year-old worker who fell from a height, suffering lower limb injuries, including a Hoffa fracture with comminution, and had problems with malunion during the postoperative period. Clinicians should be aware that rehabilitation programmes need to be tailored to the method of fixation used to manage this uncommon fracture pattern.

Hong Kong Med J 2009;15:385-7

Key words: Femoral fractures; Fracture fixation, internal; Knee injuries