Approach to Manage Post-traumatic Revision Anterior Cruciate Ligament Reconstruction Associated with a Hoffa Fracture of the Medial Femoral Condyle: A Case Report

Authors

  • Nihar Ranjan Mishra Department of Orthopedics, IMS & SUM Hospital, Siksha O Anusandhan (Deemed to be) University, Bhubaneswar-751003, Odisha, India.
  • Santosh Kumar Sahu Department of Orthopedics, IMS & SUM Hospital, Siksha O Anusandhan (Deemed to be) University, Bhubaneswar-751003, Odisha, India.
  • Dattatreya Kar Department of Medical Research, Health Science, IMS & SUM Hospital, Siksha O Anusandhan University, Bhubaneswar-751003, Odisha, India.

DOI:

https://doi.org/10.31584/jhsmr.2022873

Keywords:

anterior cruciate ligament, Hoffa fracture, medial femoral condyle, injury, revision ACL reconstruction

Abstract

We present our experience of managing a case of revision anterior cruciate ligament (ACL) reconstruction associated with a Hoffa fracture involving the medial femoral condyle (MFC). A 37-year-old male patient was referred to our hospital following a road traffic accident. The patient had a history of ACL reconstruction surgery done in the same 6 years previously in our hospital. Preoperative radiology suggested a Hoffa fracture involving the MFC. An magnetic resonance imaging suggested a full thickness tear of the reconstructed ACL and partial thickness tears of both the PCL and MCL. This case was managed with arthroscopic reconstruction of the ACL with an ipsilateral peroneus longus autograft and fixation of the femoral condyle by a paramedial approach with cannulated cancellous screws.

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Published

2023-04-18

How to Cite

1.
Mishra NR, Sahu SK, Kar D. Approach to Manage Post-traumatic Revision Anterior Cruciate Ligament Reconstruction Associated with a Hoffa Fracture of the Medial Femoral Condyle: A Case Report. J Health Sci Med Res [Internet]. 2023 Apr. 18 [cited 2024 Dec. 23];40(6):701-4. Available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/262794

Issue

VOL 40, NO 6(2022): Nov-Dec

Section

Case Report

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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