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Surgical Approaches, Postoperative Care, and Outcomes Associated with Intra-Articular Hoffa Fractures

A Comprehensive Review

Mierzwa, Adam T. MS1,*; Toy, Kristin A. MS1,*; Tranovich, Meaghan M. MD1; Ebraheim, Nabil A. MD1

doi: 10.2106/JBJS.RVW.18.00143
Review Articles

  • » Hoffa fractures are intra-articular distal femoral condylar fractures commonly arising from high-energy trauma with the knee in a flexed position.
  • » Motor vehicle accidents and falls from a height are the most commonly cited mechanisms that engage the lateral or the medial condyle, depending on the internal or external rotation of the knee.
  • » Standard weight-bearing after screw fixation should be delayed for approximately 12 weeks.
  • » Most of the literature found on Hoffa fractures placed more focus on the surgical approach or fixation method rather than outcomes associated with the number or type of screws used.

1University of Toledo Medical Center, University of Toledo College of Medicine, Toledo, Ohio

E-mail address for A.T. Mierzwa:

*Adam T. Mierzwa, MS, and Kristin A. Toy, MS, contributed equally to this work.

Investigation performed at the University of Toledo Medical Center, Toledo, Ohio

Disclosure: The authors indicated that no external funding was received for any aspect of this work. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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