7 cases of treatment of Hoffa fractures.docVIP

 PAGE \* MERGEFORMAT 6 7 cases of treatment of Hoffa fractures Of: Chen Yuqing Zhu Yong Sun Fengxiang Hannai Fu Wen-Xiang Zhang quarter [Abstract] reported 7 cases of diagnosis and treatment of fractures Hoffa, Hoffa fracture clinic to discuss ways to prevent misdiagnosis, the use of rational method of treatment, the Hoffa fracture complications to a minimum. [Keywords:] screw fixation of femoral fractures Our department from 2003 to 2007, 7 cases of distal femur were treated unicompartmental or two behind the coronal fracture of condyle (Hoffa fractures, to obtain satisfactory treatment, are as follows. Clinical data 1 GENERAL INFORMATION The Hoffa fracture were 7 patients were male, aged 23 to 57 years, average 32.7 years old. Femoral condyle fractures in 5 cases, 2 cases of fracture of medial condyle, 2 patients with ipsilateral tibial plateau fracture. According to Letenneur, etc. [1] proposed coronal fractures of the lateral femoral condyle classification, fracture in 2 cases, a type 1 cases, type 4 cases. 2 treatment (12 cases of fracture without significant displacement, lower limb plaster cast to be fixed in extension position for 6 weeks, isometric quadriceps during the exercise the line, and for regular X-ray examination, observation of fracture without displacement, 6 weeks after the removal of plaster knee joint function, and with the continuous passive motion (CPM secondary recovery. (25 cases of fracture displacement significantly, the use of continuous epidural anesthesia, the patient supine position, flexion 30 , use inside or outside the anterior cruciate side of the longitudinal incision to remove intra-articular hemorrhage and blood clots, bone fragments films, under direct vision to reset, reset clamp towel holders, vertical fracture line drill into the temporary Kirschner wire fixation, hollow drill along the reaming , choose the correct size 2 or 2 or more cancellous bone screw from front to back, or from back to fr