How to determine the surgical approach in Hoffa fractures?

Wich Orapiriyakul; Theerachai Apivatthakakul; Thanawat Buranaphatthana

doi:10.1016/j.injury.2018.11.034

How to determine the surgical approach in Hoffa fractures?

Injury. 2018 Dec;49(12):2302-2311. doi: 10.1016/j.injury.2018.11.034.

Authors

Wich Orapiriyakul¹, Theerachai Apivatthakakul², Thanawat Buranaphatthana³

Affiliations

¹ Department of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand; Department of Orthopedics, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand. Electronic address: wich.orapir@gmail.com.
² Department of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand; Excellence Center in Osteology Research and Training Center (ORTC), Chiang Mai University, Thailand. Electronic address: tapivath@gmail.com.
³ Department of Orthopaedics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. Electronic address: oak.thanawat@gmail.com.

PMID: 30526925
DOI: 10.1016/j.injury.2018.11.034

Abstract

Surgical approach selection and fixation of Hoffa fractures is difficult and remains controversial. Evolving trends emphasize the importance of fracture morphology, fracture location, and comminution, all of which guide decisions regarding surgical approach and implant selection. This focused review highlights factors affecting Hoffa fracture available surgical approaches, treatment outcomes, and recommendations for selecting an optimal approach.

Publication types

Review

MeSH terms

Femoral Fractures / diagnostic imaging
Femoral Fractures / surgery*
Fracture Fixation, Internal / methods*
Fracture Healing
Fractures, Comminuted / diagnostic imaging
Fractures, Comminuted / surgery*
Guidelines as Topic
Humans
Imaging, Three-Dimensional*
Tomography, X-Ray Computed
Treatment Outcome