Nonunion of coronal shear fracture of femoral condyle
2011
【Abstract】Isolated coronal fractures of femoral
condyle are rare in adults and nonunion of Hoffa fracture is
reported only a few times in the literature. We analyzed six
cases of nonunion of Hoffa fractures over a period of three
years. Three patients were treated conservatively and three
patients had fixation failures. Delay of presentation was 2
months to one year. Treatment protocol consisted of open
reduction, excision of pseudoarthrosis, bone grafting and
internal fixation along with knee arthrolysis. Union was
achieved in all patients at mean 16 weeks. The treatment of
nonunion of Hoffa fractures requires careful preoperative
planning and meticulous surgical technique. The literature
regarding the controversies in fracture management and
surgical technique are reviewed.
Key words: Femoral fracture; Fracture fixation,
internal; Retrospective studies
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