Hoffa骨折的临床特点及治疗

Characteristics and treatment of Hoffa's fracture

目的探讨Hoffa骨折的临床特点及治疗方法。方法对5例Hoffa骨折患者1例保守治疗、4例切开复位内固定治疗。结果5例均获随访，时间13—31个月。功能恢复参照Letenneur方法进行评估：优良3例，可2例。结论Hoffa骨折的临床特点以膝关节屈曲外翻位损伤多见，外髁发生率较高。X线对诊断价值有限，多借助CT检查。治疗原则是解剖复位，坚强内固定，早期功能康复锻炼。

Objective To analyze the characteristics and treatment of Hoffa＇s fracture. Methods Five patients with Hoffa＇s fracture were retrospectively reviewed. 4 patients underwent operation and 1 received non-operation treatment. Results 5 patients were followed up for 13 - 31 months. The excellent and good result was achieved in 3 patients, and fair in 2. Conclusions Hoffa＇s fractures are frequently taken place in the knee joint when placed in flexion and valgus, and more often seen in the condylus lateralis. The value of X-ray in the diagnosis of Hoffa＇s fracture is limited ,thus CT scan is a trustworth method. The principle of treatment of Hoffa＇s fracture are anatomical reduction and rigid internal fixation. Early knee joint functional exercise is also important.