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Medial Hoffa’s Fracture Treated with Subvastus Approach – Case Series

Parimal Vairagade, Akhilesh S. Khobragade, Devashis Barick, Kunal Parmar, Darshan Sharma, Shrikrishna A. Rakhunde

Journal of Orthopaedic Case Reports, 2026

Abstract

Abstract Introduction: Medial Hoffa’s fractures are rare coronal plane fractures of the distal femur, often missed on initial radiographs. Early diagnosis and anatomical fixation are essential for good functional recovery. Case Report: We present three cases of medial Hoffa’s fracture in adult patients following high-energy trauma. All were diagnosed using computed tomography scans. Surgical fixation was performed using headless compression screws through a subvastus approach. Post-operative rehabilitation protocols varied slightly, but all patients achieved satisfactory union and function by 6–9 months. Conclusion: High suspicion, advanced imaging, and stable fixation are vital for optimal outcomes in medial Hoffa’s fractures. Consistent anatomical reduction across cases resulted in excellent functional recovery.

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Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.

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