Bicondylar Hoffa fracture with patellar entrapment and extensor tendon rupture: A rare case report
Author(s): Kumar Pankaj and Kumar Nitish
Abstract: Hoffa fractures, particularly bicondylar variants, are rare intra-articular injuries of the distal femur. We present a case of a 22-year-old male who sustained a bicondylar Hoffa fracture with patellar entrapment and complete rupture of the extensor mechanism following a high-energy trauma. The patient underwent open reduction and internal fixation with a distal femur locking plate, two cancellous cannulated screws (CCS), and a Herbert screw. The ruptured extensor mechanism was repaired using nonabsorbable Krakow sutures. Postoperative rehabilitation included knee immobilization with passive range-of-motion exercises limited to 90 degrees for 4 weeks, non-weight-bearing (NWB) for 6 weeks, and isometric quadriceps strengthening.
Kumar Pankaj, Kumar Nitish. Bicondylar Hoffa fracture with patellar entrapment and extensor tendon rupture: A rare case report. Int J Case Rep Orthop 2025;7(2):39-41. DOI: 10.22271/27078345.2025.v7.i2a.262
