Jiang ZX, Wang P, Ye SX, Xie XP, Wang CX, Wang Y. Hoffa’s fracture in an adolescent treated with an innovative surgical procedure: A case report. World J Clin Cases 2022; 10(4): 1410-1416 [PMID: 35211577 DOI: 10.12998/wjcc.v10.i4.1410]
Corresponding Author of This Article
Yue Wang, MD, PhD, Chief Doctor, Department of Orthopedics, Sichuan Provincial People's Hospital, No. 32 West Second Section, First Ring Road, Qingyang District, Chengdu 640000, Sichuan Province, China. wangyue1957vip@163.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Feb 6, 2022; 10(4): 1410-1416 Published online Feb 6, 2022. doi: 10.12998/wjcc.v10.i4.1410
Hoffa’s fracture in an adolescent treated with an innovative surgical procedure: A case report
Zu-Xin Jiang, Pan Wang, Shun-Xin Ye, Xiao-Ping Xie, Chun-Xiu Wang, Yue Wang
Zu-Xin Jiang, Pan Wang, Shun-Xin Ye, Xiao-Ping Xie, Department of Orthopaedics, No. 2 People’s Hospital of Yibin City, Yibin 644000, Sichuan Province, China
Chun-Xiu Wang, Department of Oncology, No. 2 People’s Hospital of Yibin City, Yibin 644000, Sichuan Province, China
Yue Wang, Department of Orthopedics, Sichuan Provincial People's Hospital, Chengdu 640000, Sichuan Province, China
Author contributions: Jiang ZX was the patient’s surgeon, reviewed the literature and contributed to manuscript drafting; Wang P reviewed the literature and contributed to manuscript drafting; Ye SX and Xie XP analyzed and interpreted the imaging findings; Wang CX reviewed the literature; Wang Y analyzed and interpreted the imaging findings and revised the manuscript; all the authors issued final approval for the version to be submitted.
Informed consent statement: The patient and her parents provided consent for the publication of the images.
Conflict-of-interest statement: The authors have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yue Wang, MD, PhD, Chief Doctor, Department of Orthopedics, Sichuan Provincial People's Hospital, No. 32 West Second Section, First Ring Road, Qingyang District, Chengdu 640000, Sichuan Province, China. wangyue1957vip@163.com
Received: September 3, 2021 Peer-review started: September 3, 2021 First decision: October 29, 2021 Revised: November 10, 2021 Accepted: December 25, 2021 Article in press: December 25, 2021 Published online: February 6, 2022
Abstract
BACKGROUND
Hoffa fracture is rare, especially in adolescents, and has a high rate of complications such as avascular necrosis and osteoarthritis; moreover, there are no definitive guidelines for its treatment. This report could provide a new potential treatment for Hoffa fracture.
CASE SUMMARY
A 16-year-old girl presented to the orthopedic emergency department of No. 2 People’s Hospital of Yibin City with persistent pain following a right knee injury sustained during a sprint race. Her knee was swollen and tender, and the range of motion was restricted by the pain. X-ray and computed tomography revealed a Hoffa fracture in the right knee. After consultation, surgical treatment was performed, and the fracture was fixed with three 3.5-mm cannulated cancellous screws; osteochondral plugs that were harvested from the screw insertion site were re-implanted to cover the screw head. The patient’s fracture and osteochondral plug healed 6 mo postoperatively, and she presented a knee range of motion of 0–135 without pain, and was walking without support with a normal gait.
CONCLUSION
Here, we describe an innovative surgical procedure for Hoffa fracture that could provide a new possibility for the treatment of similar fractures, and further improve their management.
Core Tip: A 16-year-old girl presented to our orthopedic emergency department with persistent pain following a right knee injury sustained during a sprint race. On examination, the right knee was swollen and tender with decreased range of motion. Laboratory examination revealed no obvious abnormality. She was treated by open reduction and internal fixation with osteochondral plug re-implantation, and had no postoperative complications. The fracture and osteochondral plug had completely healed, 6 mo postoperatively.
