How do you fix a broken Hoffa?

Surgical treatment. Anatomic reduction of the articular surface, stable fixation, and early mobilization should be the aims of treatment. Open reduction and internal fixation is the 1st choice for the treatment of displaced Hoffa fractures, and it is also suitable for the treatment of nondisplaced Hoffa fractures.

How do you treat a femoral condyle fracture?

Nondisplaced fractures can be managed conservatively; however, they involve a high risk of redisplacement. Open reduction and internal fixation are preferred. For young patients with good compliance, simple medial or lateral condylar fractures can be treated via a medial or lateral parapatellar approach.

What is a medial femoral condyle fracture?

What is a fracture of the femoral condyle? A femoral condyle is the ball-shape located at the end of the femur (thigh bone). There are two condyles on each leg known as the medial and lateral femoral condyles. If there is a fracture (break) in part of the condyle, this is known as a fracture of the femoral condyle.

What is Hoffa fracture?

Hoffa’s fracture is a coronal-oriented fracture of the distal femur with the fracture line extending through the medial condyle, lateral condyle, or bicondylar region [1-3]. This fracture presents commonly as an isolated fracture and, in rare instances, it is associated with other injuries around the knee joint.

Does a lateral femoral condyle fracture require surgery?

Isolated coronal fracture of medial femoral condyle with intact lateral femoral condyle is extremely rare [,,], caused by a direct impact on the flexed knee during weight bearing [3]. Surgery is the gold standard for displaced fractures or to enable rapid return of knee function.

How is a femoral stress fracture diagnosed?

Your doctor will probably X-ray your leg. If they suspect a stress fracture, they will also do an MRI (magnetic resonance imaging). Most stress fractures can only be seen on an MRI. Most likely, your doctor will tell you to keep weight off the leg, and use crutches.

Is Hoffa’s fat pad Normal?

It is attached to the knee cartilage (menisci) at the front of the knee. Hoffa’s fat pad is a normal part of human anatomy, and acts as a shock-absorber to cushion the patella and stop it from hitting off the femur (thigh bone) in the event of a direct blow to the front of the knee.

Can Hoffa’s fat pad be removed?

Is Hoffa’s fat pad surgery successful? Surgery such as fat pad removal should be avoided and only used as an absolute last resort. Keyhole surgery is unpredictable and some cases do worse after Hoffa’s fat pad surgery.

Is the lateral femoral condyle weight bearing?

Most cases of osteochondral injury occur in the anterior region, which is the non-weight-bearing portion of the lateral femoral condyle. We describe two patients with osteochondral injury of the weight-bearing surface of the lateral femoral condyle associated with lateral dislocation of the patella.