Case Report: Bicondylar conjoined Hoffa fracture with incarcerated patella

CASE REPORT article

Front. Surg.

Sec. Orthopedic Surgery

Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1480070

Provisionally accepted

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Case:Hoffa fractures, uncommon injuries of the femoral condyle, sometimes involve both condyles, forming bicondylar fractures, typically from high-velocity trauma. We describe a 17-year-old male with an open conjoined bicondylar Hoffa fracture and a patellar fracture with incarceration following a road traffic accident. Emergency treatments included debridement, irrigation, and cannulated screw fixation. Postoperative care involved controlled range-of-motion exercises and specialized rehabilitation. Conclusion:Despite its rare and severe nature, this conjoined bicondylar Hoffa fracture with patellar incarceration was successfully managed, showing excellent recovery. CT scans are vital for accurate injury definition and surgical planning. Anatomical reduction and rigid fixation enable early mobilization and excellent long-term outcomes.

Keywords: case report, Hoffa fracture, Orthopaedic surgery, Patellar fracture, Traumatology

Received: 13 Aug 2024; Accepted: 31 Jan 2025.

Copyright: © 2025 . This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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