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Open Access Case report

Intra-articular corrective osteotomy for malunited Hoffa fracture: A case report

Takao Iwai1, Masayuki Hamada13*, Takahide Miyama1 and Konsei Shino2

Author Affiliations

1 Department of Orthopedic Sports Medicine, Hoshigaoka Koseinenkin Hospital, 4-8-1 Hoshigaoka Hirakata, Osaka 573-8511, Japan

2 Faculty of Comprehensive Rehabilitation, Osaka Prefecture University, 3-7-30 Habikino, Habikino, Osaka, 583-8555, Japan

3 Department of Orthopaedic Surgery, Hoshigaoka Koseinenkin Hospital, 4-8-1 Hoshigaoka, Hirakata City, Osaka, 573-8511, Japan

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Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology 2012, 4:28  doi:10.1186/1758-2555-4-28

Published: 7 August 2012

Abstract

Hoffa fracture, an isolated coronal plane fracture of the posterior aspect of the femoral condyle, is known as an unstable, intra-articular fracture, and therefore, operative treatment is recommended. However, insufficient open reduction or failure of fixation may lead to malunion. We performed intra-articular corrective osteotomy for a malunited Hoffa fracture in a 31-year-old man and obtained good functional and radiographic results. This report suggests that intra-articular corrective osteotomy for malunited Hoffa fracture offers a good outcome and should be considered as salvage treatment.

Keywords:
Hoffa fracture; Malunion; Intra-articular corrective osteotomy