Abstract
A coronal fracture of the distal femoral condyle is a rare entity and a nonunion even
more so. The coronal fractures, also known as Hoffa fracture, more often involve the
lateral than the medial condyle. Open reduction and internal fixation are the primary
treatment of choice. We describe two cases of nonunion of a Hoffa fracture (one medial
and one lateral). Although the nonunion fragment was not attached to any soft tissues
in both cases the fragment was noted to be vital both clinically and histologically.
After operative treatment, consisting of debridement, compression with use of headless
screws, and liberal use of bone graft both nonunions healed. At latest follow-up,
both patients had excellent function and reported no or minimal pain.
Keywords
orthopedics - trauma
