A Prospective Study of Functional Outcome of Hoffa Fracture Treated with Cannulated Cancellous Screws, Herbert Screws and Buttress Plates

Sarthak  Sahoo; Manmatha  Nayak; Radhakishan  Sahoo

Authors

Sarthak Sahoo Assistant Professor, Department of Orthopaedic, SCB Medical College & Hospital, Odisha, India
Manmatha Nayak Assistant Professor, Department of Orthopaedic, SCB Medical College & Hospital, Odisha, India
Radhakishan Sahoo Postgraduate, Department of Orthopaedic, SCB Medical College & Hospital, Odisha, India

Keywords:

Neers score, articular anatomy, lag screw, cannulated cancellous screw, Hoffa's fracture

Abstract

Background- The three categories of partial articular fractures that make up distal femur AO type 33 B fractures are coronal split fracture, medial condyle fracture, and sagittal lateral condyle fracture. The rate of damage or the degree of osteoporosis influence the likelihood of a distal femur fracture.

Objectives- Examining the functional results of Hoffa fractures—coronal plane fractures of the femoral condyle—treated with buttress plates, cannulated cancellous screws, and Herbert screws is the goal of this study.

Materials and Methods- The orthopedic department of Srirama Chandra Bhanja (SCB) Medical College in Cuttack, Odisha, India, carried out this prospective study to examine the functional results of hoffa fractures treated with buttress plates, cannulated cancellous screws, and herbert screws. The research was conducted from June 2022 to May 2024.

Results- The patients were 30.25±7.01 years old on average. Male competitors made up 14 (70%), while female participants made up 06 (30%). 4.15±1.66 days passed between the injury and operation. The radiologically recorded length of union was found to be 2.3±1.49. The study population had a functional knee society score of 80.45±15.01.

Conclusion- According to this study, Hoffa fractures are most frequently observed in male young adults and are mostly caused by automobile accidents. According to the results, anatomical factors also suggest that the lateral condyle sustains injuries more frequently than the medial condyle. Interestingly, every instance in this study was identified by X-ray and verified by CT scans, indicating that careful monitoring of X-rays by themselves can successfully detect Hoffa fractures.

Author Biography

Sarthak Sahoo, Assistant Professor, Department of Orthopaedic, SCB Medical College & Hospital, Odisha, India

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