Diagnosis and treatment of the coronal fracture of the femoral condyle

Objective:To investigate the diagnosis and treatment of the coronal fracture of the femoral condyle.Methods:Seven patients with Hoffa fracture treated in our hospital in recent 7 years were enrolled in this study.Six patients were treated with surgical treatment,while one non displaced fracture received conservative treatment.Fractures were reduced under direct vision and fixed with hollow lag screws.The knees were immobilized in extension with cast after operation,and flexion exercise was commenced 3 weeks later.Results:All the patients were followed up.According to Kumar functional assessment system,5 patients got excellent results,1 good,and 1 fair.Conclusion:Rigid internal fixation with hollow lag screw and extension plaster fixation is the excellent way to treat the coronal fracture of the femoral condyle.