Application of the suture anchor in the treatment of Hoffa fractures of the lateral femoral condyle

Abstract Background To evaluate the feasibility and clinical effect of the suture anchor combined with external fixation in the treatment of the lateral femoral condyle Hoffa fracture. Methods In this study, a retrospective study was conducted to analyze the feasibility of treating fourteen patients...

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Main Authors: Yingya Jiao, Yanhui Suo, Junlin Chen, Ruihai Yan, Zhongqiang Yuan, Yinhu Shi, Cheng Chang, Meng Wei
Format: Article
Language:English
Published: BMC 2023-07-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-023-04005-y
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author Yingya Jiao
Yanhui Suo
Junlin Chen
Ruihai Yan
Zhongqiang Yuan
Yinhu Shi
Cheng Chang
Meng Wei
author_facet Yingya Jiao
Yanhui Suo
Junlin Chen
Ruihai Yan
Zhongqiang Yuan
Yinhu Shi
Cheng Chang
Meng Wei
author_sort Yingya Jiao
collection DOAJ
description Abstract Background To evaluate the feasibility and clinical effect of the suture anchor combined with external fixation in the treatment of the lateral femoral condyle Hoffa fracture. Methods In this study, a retrospective study was conducted to analyze the feasibility of treating fourteen patients (eight men and six women) with Hoffa fractures admitted to our Hospital from January 2016 to October 2021 with combined external fixation using incisional reduction anchor nailing. The age of the patients ranged from 23 to 45 years, with an average of 37.5 years. According to Letenneur’s classification, there were eight cases of type I, three cases of type II, and three cases of type III. The functional assessment of Letenneur was used to measure the clinical outcome. Results All patients had one-stage wound healing, and all patients were followed up for 12 to 18 months after surgery, and all fractures healed well, with normal knee flexion and extension activities, and no complications such as fracture displacement, anchor nail loosening, or fracture malunion were observed. The clinical outcome was evaluated according to the functional evaluation criteria of Letenneur et al. The clinical outcome of fourteen patients: excellent in thirteen cases and good in one case, with an overall excellent rate of 100%. Conclusions Our study results indicate that the use of anchor nailing combined with external fixation for Hoffa fractures of the femoral condyle has some clinical reference significance because it is less invasive, has fewer complications, does not require secondary removal, and is worthy of clinical application. Trial registration: Retrospectively registered.
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spelling doaj.art-270c0aea7b844210bbf8d0975e15693d2023-07-23T11:20:43ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-07-011811710.1186/s13018-023-04005-yApplication of the suture anchor in the treatment of Hoffa fractures of the lateral femoral condyleYingya Jiao0Yanhui Suo1Junlin Chen2Ruihai Yan3Zhongqiang Yuan4Yinhu Shi5Cheng Chang6Meng Wei7Department of Sports Injury and Arthroscopy, Handan City Central HospitalDepartment of Sports Injury and Arthroscopy, Handan City Central HospitalDepartment of Sports Injury and Arthroscopy, Handan City Central HospitalDepartment of Sports Injury and Arthroscopy, Handan City Central HospitalDepartment of CT Room, Handan City Central HospitalDepartment of CT Room, Handan City Central HospitalDepartment of CT Room, Handan City Central HospitalDepartment of CT Room, Handan City Central HospitalAbstract Background To evaluate the feasibility and clinical effect of the suture anchor combined with external fixation in the treatment of the lateral femoral condyle Hoffa fracture. Methods In this study, a retrospective study was conducted to analyze the feasibility of treating fourteen patients (eight men and six women) with Hoffa fractures admitted to our Hospital from January 2016 to October 2021 with combined external fixation using incisional reduction anchor nailing. The age of the patients ranged from 23 to 45 years, with an average of 37.5 years. According to Letenneur’s classification, there were eight cases of type I, three cases of type II, and three cases of type III. The functional assessment of Letenneur was used to measure the clinical outcome. Results All patients had one-stage wound healing, and all patients were followed up for 12 to 18 months after surgery, and all fractures healed well, with normal knee flexion and extension activities, and no complications such as fracture displacement, anchor nail loosening, or fracture malunion were observed. The clinical outcome was evaluated according to the functional evaluation criteria of Letenneur et al. The clinical outcome of fourteen patients: excellent in thirteen cases and good in one case, with an overall excellent rate of 100%. Conclusions Our study results indicate that the use of anchor nailing combined with external fixation for Hoffa fractures of the femoral condyle has some clinical reference significance because it is less invasive, has fewer complications, does not require secondary removal, and is worthy of clinical application. Trial registration: Retrospectively registered.https://doi.org/10.1186/s13018-023-04005-ySuture anchorExternal fixationFemoral condyleHoffa fracture
spellingShingle Yingya Jiao
Yanhui Suo
Junlin Chen
Ruihai Yan
Zhongqiang Yuan
Yinhu Shi
Cheng Chang
Meng Wei
Application of the suture anchor in the treatment of Hoffa fractures of the lateral femoral condyle
Journal of Orthopaedic Surgery and Research
Suture anchor
External fixation
Femoral condyle
Hoffa fracture
title Application of the suture anchor in the treatment of Hoffa fractures of the lateral femoral condyle
title_full Application of the suture anchor in the treatment of Hoffa fractures of the lateral femoral condyle
title_fullStr Application of the suture anchor in the treatment of Hoffa fractures of the lateral femoral condyle
title_full_unstemmed Application of the suture anchor in the treatment of Hoffa fractures of the lateral femoral condyle
title_short Application of the suture anchor in the treatment of Hoffa fractures of the lateral femoral condyle
title_sort application of the suture anchor in the treatment of hoffa fractures of the lateral femoral condyle
topic Suture anchor
External fixation
Femoral condyle
Hoffa fracture
url https://doi.org/10.1186/s13018-023-04005-y
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