# Arthroscopic Management of Articular Hoffa Fracture: A Case Report

## Authors

- Adnane Lachkar ([ORCID](https://orcid.org/0000-0001-7554-9178)) — Orthopedic surgery department B, CHU Oujda Morocco
- Hicham Yacoubi — Orthopedic surgery department B, CHU Oujda Morocco
- Abdeljaouad Najib ([ORCID](https://orcid.org/0000-0001-5153-3331)) — Orthopedic surgery department B, CHU Oujda Morocco

## Article information

- **Journal:** The Ulutas Medical Journal (Ulutas Med J), ISSN 2149-388X
- **Issue:** Volume 6, Issue 2 (2020), pages 91–96
- **Article type:** Case Report
- **Published online:** 2020-06-19
- **DOI:** [10.5455/umj.20200512055639](https://doi.org/10.5455/umj.20200512055639)
- **Licence:** [CC BY-NC 4.0](https://creativecommons.org/licenses/by-nc/4.0/)
- **Article page:** https://www.ulutasmedicaljournal.com/?mno=106718
- **PDF:** https://www.ulutasmedicaljournal.com/pdf/106718.pdf

## Abstract

Introduction: Hoffa fractures are uncommon. These joint fractures require anatomical reduction with stable osteosynthesis allowing early rehabilitation. The arthroscopic reduction with percutaneous osteosynthesis has the advantages of being a minimally invasive technique with minimal morbidity and a good control of the reduction. Case Presentation: We report here a 35-year-old patient who has a left knee injury after a motorbike accident. The case was treated for Hoffa's fracture by percutaneous fixation arthroscopically assisted with good outcomes.

## Keywords

Hoffa fracture; Knee articular fractures; Arthroscopy

## How to cite

Lachkar A, Yacoubi H, Najib A. Arthroscopic Management of Articular Hoffa Fracture: A Case Report. Ulutas Med J. 2020;6(2):91-96. doi:10.5455/umj.20200512055639

## References

1. Zhou Y, Pan Y, Wang Q, Hou Z, Chen W. Hoffa fracture of the femoral condyle: Injury mechanism, classification, diagnosis, and treatment. Medicine (Baltimore). 2019 Feb;98(8):e14633 https://doi.org/10.1097/md.0000000000014633
2. Patel PB, Tejwani NC. The Hoffa fracture: Coronal fracture of the femoral condyle a review of literature. J Orthop. 2018 May 7;15(2):726-731 https://doi.org/10.1016/j.jor.2018.05.027
3. Xiao K, Chen C, Yang J, Yang D, Liu J. An attempt to treat Hoffa fractures under arthroscopy: A case report. Chin J Traumatol. 2018 Oct;21(5):308-310 https://doi.org/10.1016/j.cjtee.2018.08.004
4. Goel A, Sabat D, Agrawal P. Arthroscopic-assisted fixation of Hoffa fracture: A case report and description of technique. J Clin Orthop Trauma. 2016 Jan-Mar;7(1):61-5 https://doi.org/10.1016/j.jcot.2015.08.005
5. Stuttgart Hoffa Afa. Lehrbuch der Frakturen und Luxationen. Verlag von Ferdinand Enke; 1904:451
6. Say F, Kuyubaş N. Arthroscopy-Assisted Fixation of an Intra-Articular Medial Femoral Condyle (Hoffa) Fracture of the Knee: A Case Report. JBJS Case Connect. 2014 Oct/Dec/Nov; 4(4):e109 https://doi.org/10.2106/jbjs.cc.m.00298
7. Wallenbock E, Ledinski C. Indications and limits of arthroscopic management of intraarticular fractures of the knee joint. Aktuelle Traumatogie. 1993;23:97–101
8. McCarthy JJ, Parker RD. Arthroscopic reduction and internal fixation of a displaced intraarticular lateral femoral condyle fracture of the knee. Arthroscopy. 1996;12:224–227 https://doi.org/10.1016/s0749-8063(96)90016-x
9. Stern RE. Comment. Arthroscopy. 1996;12:760– 761
10. Demirel M, Dereboy F, Ozturk A. Arthroscopically assisted intra-articular lateral femoral condyle fracture surgery. Arthroscopy. 2006;22:690e1–690e4 https://doi.org/10.1016/j.arthro.2005.08.049
11. Ercin E, Bilgili MG, Basaran SH, et al. Arthroscopic treatment of medial femoral condylar coronal fractures and nonunions. Arthrosc Tech. 2013;2(4):e413–e415 https://doi.org/10.1016/j.eats.2013.06.001
