ArticleArchives of orthopaedic and trauma surgery2024
Hoffa fractures are associated with concomitant soft tissue injures and a high postoperative complication rate.
Article in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 10 citations in OpenAlex.
- [Hoffa fractures : Rare, often overlooked, prone to complications].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Plate-augmented fixation of comminuted Letenneur type II Hoffa fractures provides favorable stability compared to isolated posteroanterior screw fixation - a biomechanical study.Archives of orthopaedic and trauma surgery · 2025Article
- Outcomes of Surgical Management of Late Presenting Intra-Articular Distal Femoral Physeal Fracture: A Multicentric Retrospective Case Series.Indian journal of orthopaedics · 2025Article
- Pediatric lateral Busch-Hoffa fracture associated with lateral meniscus tear and incarcerated popliteus tendon: systematic review of literature and case report.Orthopedic reviews · 2025Article
- Hoffa fractures are slower to heal than entire condyle fractures of the distal femur: an analysis of type 33B fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Outcomes of Surgical Management of Late Presenting Intra-Articular Distal Femoral Physeal Fracture: A Multicentric Retrospective Case Series.Indian journal of orthopaedics · 2024Article
- Subvastus Arthrotomy and Multifaceted Fixation in Medial Femoral Comminuted Hoffa's Fracture: A Case Report.Cureus · 2024Article
- Effects of herbal wet compresses on pain intensity, inflammatory factor levels, and quality of life in patients with pain.American journal of translational research · 2024Article
- Off-Label Use of Buttress Calcaneal Plate in Medial Distal Femoral Fracture to Augment Internal Fixation.JBJS essential surgical techniquesArticle
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Authors and funding
6 authors at 5 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
introductionHoffa fractures are a rare and often overlooked entity. The main goal of surgical treatment is to restore the articular surface and maintain knee function. However, current clinical data indicate heterogeneous outcomes. The aim of this multicenter study was to obtain a representative data set of patients with isolated Hoffa fractures with special emphasis on concomitant soft tissue injuries, diagnostic algorithms, treatment strategies and functional outcomes. MATERIALS AND
methodsParticipating Level I trauma centres were asked to review their internal database for isolated Hoffa fractures treated surgically between 2010 and 2020. Demographics, mechanism of injury, diagnostic and therapeutic algorithm, Letenneur classification, concomitant soft tissue injuries, and postoperative knee function and complications were analysed.
resultsA total of 56 patients from six participating trauma centres were included. The median age at injury was 45 years (15-94) with a median follow-up of 19 months (2-108). The most common mechanism of injury was high-energy trauma, with unicondylar lateral Letenneur type I and II fractures being the most common. Surgical treatment was independent of the type of fracture and included isolated screw fixation, combined plate and screw fixation and isolated plate osteosynthesis. Isolated screw fixation resulted in significantly better range of motion (ROM) values (p = 0.032), but the highest number of postoperative complications (n = 14/20, n.s.) compared to the other fixation techniques. The highest number of fixation failures requiring revision was observed in the plate and screw fixation group (n = 3/8, p = 0.008). Osteochondral flake fractures (n = 12/43, 27%) and lateral meniscus injuries (n = 5/49, 10%) were commonly seen in Hoffa fractures.
conclusionsTreatment of Hoffa fractures with screw fixation resulted in significantly better functional outcomes, probably due to less comminuted fractures. Concomitant cartilage, meniscal and ligamentous injuries are common and warrant preoperative recognition and management.
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