A proposed radiological classification system of Hoffa’s fracture based on fracture configuration and consequent optimal treatment strategy along with the review of literature

Autor: Bagaria Vaibhav, Sharma Gaurav, Waghchoure Chaitanya, Chandak Rajendra M, Nemade Amit, Tadepelli Kalyan, Pawar Prashant
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: SICOT-J, Vol 5, p 18 (2019)
Druh dokumentu: article
ISSN: 2426-8887
DOI: 10.1051/sicotj/2019016
Popis: Background: Coronal fractures of distal end femur, referred as Hoffa’s fracture are not uncommon, yet easily missed injuries lacking proper classification system and consensus for ideal treatment. While most trauma surgeons adopt different strategies based on the fracture configuration and their own experience, there are no set ways to classify these based on the most appropriate treatment strategy. Methods: Thirty cases of Hoffa fracture from tertiary care centres were studied for the fracture pattern, fragment size, comminution and possible variations to formulate a radiological classification and treatment guidelines. Additionally, a literature search was used to analyze 77 case studies based on Hoffa fracture to find out the common fracture patterns and treatment modalities adopted for varying fracture patterns in these studies. Six independent observers participated in testing the inter-observer reliability of the proposed classification. Results: A new proposed radiological classification for Hoffa fracture consists of four main types. Type 1 is with fracture fragment >2.5 cm, Type 2 with fragment
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