Open Non-conjoint Bicondylar Hoffa Fracture with Ipsilateral Tibial Spine Avulsion and Disruption of Patellar Tendon – A Rare Case

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Abstract

Introduction: Hoffa’s fracture is rare high velocity injuries. Bicondylar Hoffa is a rare fracture entity with only few reported cases. Case Report: We report a case of open Type 3b non-conjoint bicondylar Hoffa fracture accompanied with ipsilateral anterior tibial spine avulsion and disruption of the patellar tendon. Staged procedure was done, first procedure included wound debridement with external fixator. Second procedure involved definitive fixation of Hoffa fracture, anterior tibial spine, and patellar tendon avulsion. In our case, we have discussed the possible mechanism of injury, operative approaches, and early functional outcome. Conclusion: We report such a case with its possible etiological causation, surgical management, clinical outcome, and prognostic outcome. Keywords: Hoffa fracture, bi-condylar, tibial spine avulsion, patellar tendon disruption, open injury.