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Hoffa fracture

Definition

Hoffa Fracture Xray

 

Coronal plane fracture of distal femoral condyle

- intra-articular

- often only attachment is posterior capsule

 

Epidemiology

 

Rare

 

Mechanism

 

Usually a severe valgus trauma

 

Xray

 

Distal femur fractures

Problem

 

1.  Undulating growth plate / higher rate of growth plate injury

- growth arrest / LLD

- angular deformity

- need to be warned

- require close and careful follow up especially in first 2 years

 

2.  Can be unstable / malunion and shortening very problematic in this area

 

Xray

 

Salter Harris I