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DOI: 10.1055/s-0042-1742599
Fresh Osteochondral Allograft in a Complex Hoffa Fracture – Case Report
Article in several languages: português | English
Abstract
Hoffa fracture (HF) typically involves the posterior femoral condyle in the sagittal plane, with an estimated incidence of 0.65% among femoral fractures. It usually occurs at the lateral femoral condyle in high-energy trauma with axial load force over the distal third of the femur and the knee positioned in more than 90° of flexion. The case reported involved a patient with a complex medial HF and associated knee dislocation after a high-energy trauma. At two years of follow-up radiologic analysis showed a complete bone healing and allograft integration. Transplantation of osteochondral allografts should be considered in cases of complex HF, and it aims at restoring the anatomy of the joint surface to prevent early post-traumatic osteoarthrosis in young patients.
Financial Support
The authors declare that the present report did not receive any financial support from agencies in the public, commercial, or non-profit sectors.
Work carried out at the Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Rio de Janeiro, RJ, Brazil
Publication History
Received: 06 September 2021
Accepted: 22 November 2021
Article published online:
07 March 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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