SJIF(2020): 5.702

International Journal of Advanced Research and Publications

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Post Operative Physiotherapy Rehabilitation Of Hoffa’s Fracture: A Case Series

Volume 5 - Issue 6, June 2022 Edition
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DR.Subham Parmar, DR. Dharmang Vyas
Cortico-cancellous screw, Herbert screw, HOFFA’S fracture, open reduction internal fixation, post operative.
Background: A coronal fracture of the distal femoral condyle, known as a HOFFA’S fracture, commonly occurs and is easy to misdiagnose. Surgical treatment and rehabilitation is primary method of treatment. So, this study involves left Hoffa’s lateral condylar fracture managed by open reduction internal fixation with C-C screw and rehabilitation Case presentation: We reported a 7 cases of 15-50 years patients who visited to our hospital with complaint of pain during knee bending, transfer activities and prolong standing. They presented with lateral and medial condylar HOFFA’S fracture and this cases is managed by C-C screw and Herbert screw fixation by means of ORIF. After surgery physiotherapy management was started after 1 day of surgery. No early complications, such as infection, and loss of reduction were noted after surgery. Outcome measure: VAS, GONIOMETRY, MMT, GIRTH(MEASURETAP) Conclusion: Our case study highlight the importance of early post op physiotherapy management after HOFFA’S fracture. And we reported that physiotherapy plays an important role in rehabilitation of patients with HOFFA’S fracture.
[1] Papadopoulos AX, Panagopoulos A, Karageorgos A, Tyllianakis M: Operative treatment of unilateral bicondylar Hoffa fractures. J Orthop Trauma 18:119–122, 2004.

[2] S.L. Lewis, J.L. Pozo, W.F. Muirhead-Allwood Coronal fractures of the lateral femoral condyle J. Bone Jt. Surg. Br., 71 (1989), pp. 118-120.

[3] A.P. Singh, I.K. Dhammi, R. Vaishya, A.K. Jain, A.P. Singh, P. Mod Nonunion of coronal shear fracture of femoral condyle Chin. J. Traumatol., 14 (2011), pp. 143-146

[4] R. Glass, J. Waddell, B. Hoogenboom The effects of open versus closed kinetic chain exercises on patients with ACL deficient or reconstructed knees: a systematic review

[5] C. Mikkelsen, S. Werner, E. Eriksson Closed kinetic chain alone compared to combined open and closed kinetic chain exercises for quadriceps strengthening after anterior cruciate ligament reconstruction with respect to return to sports: a prospective matched follow-up study Knee Surg., Sports Traumatol., Arthrosc., 8 (2000), pp. 337-342 official journal of the ESSKA

[6] Holmes SM, Bomback D, Baumgaertner MR: Coronal fractures of the femoral condyle: a brief report of five cases. J Orthop Trauma 18:316–319, 2004.