Hoffa fracture diagnosis and treatment of.docVIP

 PAGE \* MERGEFORMAT 20 Hoffa fracture diagnosis and treatment of [Keywords:] Fracture In 1904, Hoffa [1] first described a coronal fracture of the lateral femoral condyle, with the medial condyle and two condylar fractures of the reported increase in coronal, distal femur is currently the single or double condyle condyle fractures are called coronal for the Hoffa fracture, the articular fracture. coronal fracture line in the vertical separation of clinical rare, and the number of cases reported in the literature are small. more a result of knees, the femoral condyle by the high-energy axial with, the valgus stress caused by often associated with meniscus, cruciate ligament injury and the neighboring parts. Hoffa fractures are intra-articular fracture, involving weight-bearing articular surface, the precise anatomic reduction to restore the normal alignment of the knee joint between lines is very important, most of the required open reduction surgery fixation, but fixation surgery remains controversial. the author of the recent literature on the Hoffa fractures were reviewed in order to enhance further understanding of the type of fracture and clinical efficacy. 1 Applied Anatomy Thick and the distal femur is rotated, was horn, mainly composed of trabecular bone to both sides of the extension is the femoral condyle, an important part of the knee. Lenient lateral condyle, medial condyle than the narrow, low position , the furrow between the lateral condyle of the intercondylar fossa, there are two notch, knee ligament attachment on it. anterior cruciate ligament attached to the end of the inner surface of the lateral condyle of the Ministry of posterior cruciate ligament is attached to the outside before the medial femoral condyle Department. Therefore, the occurrence of Hoffa fractures, often on the block with the lateral femoral condyle or medial condyle of the articular surface of the rear projection. lateral condylar fracture often backward block