Intercondylar fossa screw with plate fixation for Letenneur type III Hoffa fractures / 中国骨伤

ABSTRACT

<p><b>OBJECTIVE</b>To investigate clinical effect of intercondylar fossa screw with plate fixation in treating Letenneur type III Hoffa fractures.</p><p><b>METHODS</b>From March 2005 to December 2014, 7 patients with Letenneur type III Hoffa fracture were treated by intercondylar fossa screw with plate fixation, including 5 males and 2 females aged from 27 to 68 years old with an average of 42.6 years old. Five patients were on lateral condyle and 2 patient on internal condyle. All fractures were closed and type III fractures according to Letenneur classification. Fracture healing, postoperative complications were observed, Letenneur standard was used to evaluate clinical effects.</p><p><b>RESULTS</b>All patients were followed up from 13 to 26 months with an average of 17.8 months. All fractures were healed well ranged from 9 to 15 weeks with an average of 12.4 weeks. No inflammation, bone nonunion and osteonecrosis occurred. According to Letenneur scoring, 6 cases obtained excellent results and 1 moderate.</p><p><b>CONCLUSIONS</b>Intercondylar fossa screw with plate fixation is a safe and effective way for Letenneur type III Hoffa fractures, which could improve stability of fracture, promote fracture healing, benefit for early exercise, and further improve knee function.</p>