• Vol. 48 No. 2
  • 15 February 2019

Deformity Correction Using the “Sandwich” Technique for a Non-Union Hoffa Fracture



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Fredrich Busch was the first author to describe a coronal
plane fracture of the lateral femoral condyle. It was,
however, Albert Hoffa who was credited with discovering
this fracture. Recent recommendations have been made to
rename isolated, intra-articular, coronal plane fractures of
the distal femur, or the “Hoffa fracture” to “Busch-Hoffa
fractures”.1 These fractures have been reported to more
commonly involve the lateral side.2 The configuration of
this fracture causes it to be inherently unstable; hence poor
outcome is usual with non-operative management, with
malunion being recognised as a common late complication
even after surgical management.2,3,4,5 This paper discusses
the case of a young adult male presenting with a grade II
(Letenneur classification)9 Hoffa fracture—his management,
complications and outcomes.

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