Abstract
As emphasized in the August 2014 Case Connections article, arthroscopy—like any surgical procedure—is not without complications. However, in the hands of experienced surgeons and with appropriate indications, arthroscopy, alone or in combination with other modalities, can be a uniquely effective tool for orthopaedic treatment. The November 26, 2014 JBJS Case Connector features a case report by Say and Kuyubasi in which surgeons arthroscopically reduced and fixed a minimally displaced medial femoral condyle (Hoffa) fracture. In this report, a thirty-one-year-old woman sustained the knee fracture, along with multiple other injuries and fractures, after being struck by a motor vehicle. Six days after being treated for the most serious injuries, the patient underwent arthroscopic-assisted surgery to repair the Hoffa fracture, which was horizontal to the base of the condyle. During arthroscopic visualization (Fig. 1), no ligament or meniscal injuries were observed. Under arthroscopic visualization, surgeons reduced and temporarily fixed the fracture with a percutaneous Weber clamp. Then, under fluoroscopic guidance, they passed two retrograde Kirschner wires to the fracture line and percutaneously placed two cannulated screws for permanent fracture fixation. Stable fixation was confirmed arthroscopically and fluoroscopically. Fig. 1 Arthroscopic visualization of the Hoffa fracture. Postoperative radiographs and CT confirmed anatomic reduction, and …
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