Approach to Manage Post-traumatic Revision Anterior Cruciate Ligament Reconstruction Associated with a Hoffa Fracture of the Medial Femoral Condyle: A Case Report

Nihar Ranjan Mishra, Santosh Kumar Sahu, Dattatreya Kar

Abstract

We present our experience of managing a case of revision anterior cruciate ligament (ACL) reconstruction associated with a Hoffa fracture involving the medial femoral condyle (MFC). A 37-year-old male patient was referred to our hospital following a road traffic accident. The patient had a history of ACL reconstruction surgery done in the same 6 years previously in our hospital. Preoperative radiology suggested a Hoffa fracture involving the MFC. An magnetic resonance imaging suggested a full thickness tear of the reconstructed ACL and partial thickness tears of both the PCL and MCL. This case was managed with arthroscopic reconstruction of the ACL with an ipsilateral peroneus longus autograft and fixation of the femoral condyle by a paramedial approach with cannulated cancellous screws.

 Keywords

anterior cruciate ligament; Hoffa fracture; medial femoral condyle; injury; revision ACL reconstruction

 Full Text:

PDF

References

Arastu MH, Kokke MC, Duffy PJ, Korley RE, Buckley RE. Coronal plane partial articular fractures of the distal femoral condyle: current concepts in management. Bone Joint J 2013;95:1165–71.

Akan K, Akgun U, Poyanli O, Unay K. Arthroscopy-assisted treatment of Hoffa fracture associated with ipsilateral femoral shaft, tibial eminence and Malgaigne fractures. Acta Orthop Traumatol. Turc 2014;48:602–6.

Jain A, Aggarwal P, Pankaj A. Concomitant ipsilateral proximal tibia and femoral Hoffa fractures. Acta Orthop Traumatol Turc 2014;48:383–7.

Jain SK, Jadaan M, Rahall E. Hoffa’s fracture - lateral meniscus obstructing the fracture reduction - a case report. Injury 2015;46:419–21.

Iwai T, Hamada M, Miyama T, Shino K. Intra-articular corrective osteotomy for malunited Hoffa fracture: a case report. Sports Med Arthrosc Rehabil Ther Technol 2012;4:28.

Kumar R, Malhotra R. The Hoffa fracture: three case reports. J Orthop Surg (Hong Kong) 2001;9:47–51.

Trikha V, Das S, Gaba S, Agrawal P. Analysis of functional outcome of Hoffa fractures: a retrospective review of 32 patients. J Orthop Surg (Hong Kong) 2017;25:(2309499017718928).

Miller MD. Revision cruciate ligament surgery with retention of femoral interference screws. Arthroscopy 1998;14:111-4.

Vap AR, Persson A, Fenstad AM, Moatshe G, LaPrade RF, Engebretsen L. Re-revision Anterior Cruciate Ligament Reconstruction: An Evaluation from the Norwegian Knee Ligament Registry. Arthroscopy 2019;35:1695-701.

Singh B, Sareen S, Virdi P, Bhattal SS, Bhardwaj A. Hoffa fracture associated with avulsion fracture of cruciate ligaments: Two case reports. J Arthrosc Jt Surg 2015;2:37-414.

DOI: http://dx.doi.org/10.31584/jhsmr.2022873

Refbacks

  • There are currently no refbacks.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.