M.E.Müller: Atlas: Fracture 33-B3

Femur, Distal,
partial articular fracture,
frontal 0,17% of the total
0,28% of the femur
4,72% of the segment

36 fractures
39,1% group
68%M, 32%F

38 fractures
41,3% group
83%M, 17%F

18 fractures
19,6% group
78%M, 22%F

Anterior and lateral flake fracture Unicondylar posterior (Hoffa) +Q Bicondylar posterior

These are partial articular fractures of the distal femur involving the posterior area of one of the condyles (Hoffa fracture). Ref. Manual of Internal Fixation:
184 - 189. 548 - 547.
Surgeon. MV.

These are serious fractures that must be treated by anatomic open reduction and internal fixation with interfragmentary compression by two 6.5 mm cancellous screws, introduced through the anterior portion of the condyle right at the edge of the articular cartilage.

When the condylar fragment is small, internal fixation must be performed with the smaller 4 mm cancellous screws. These cases are at risk of developing avascular necrosis. Non-weight-bearing must be lengthy.

preoperative preoperative

postoperative postoperative




						Femur, Distal, partial articular fracture, frontal	0,17% of the total 0,28% of the femur 4,72% of the segment






These are partial articular fractures of the distal femur involving the posterior area of one of the condyles (Hoffa fracture).		Ref. Manual of Internal Fixation: 184 - 189. 548 - 547. Surgeon. MV.

These are serious fractures that must be treated by anatomic open reduction and internal fixation with interfragmentary compression by two 6.5 mm cancellous screws, introduced through the anterior portion of the condyle right at the edge of the articular cartilage.	When the condylar fragment is small, internal fixation must be performed with the smaller 4 mm cancellous screws. These cases are at risk of developing avascular necrosis. Non-weight-bearing must be lengthy.