Right Distal Femur Fracture with Hoffa’s Fracture Treated with ORIF and Herbert Screw Fixation | Balanku Hospital

Advanced Knee Trauma Management at Balanku Hospital

Distal femur fractures are serious injuries involving the lower part of the thigh bone near the knee joint. When associated with a Hoffa’s fracture (a coronal plane fracture of the femoral condyle), the injury becomes more complex and requires precise surgical management to restore joint stability and function.

At Balanku Hospital, we specialize in managing complex periarticular fractures with advanced fixation techniques. We are pleased to share the successful treatment of Mr. Nagraj, who presented with a right distal femur fracture with Hoffa’s fracture.

Understanding the Condition

Mr. Nagraj presented with:

• Severe pain around the right knee

• Swelling and deformity

• Inability to bear weight

• Restricted knee movements

Clinical examination and imaging studies confirmed a Right Distal Femur Fracture with Hoffa’s fracture, a rare but serious injury affecting the weight-bearing surface of the knee joint.

Such fractures require anatomical reduction to restore joint congruity and prevent long-term complications like stiffness and arthritis.

Surgical Procedure Performed

Open Reduction and Internal Fixation (ORIF)

Mr. Nagraj underwent Open Reduction and Internal Fixation (ORIF) to restore proper alignment of the distal femur fracture using plates and screws.

Herbert Screw Fixation for Hoffa’s Fragment

The Hoffa’s fragment was stabilized using Herbert screws, which provide:

• Strong compression across the fracture site

• Stable fixation of the articular fragment

• Preservation of joint surface alignment

This combined surgical approach ensured stable fixation of both the distal femur fracture and the intra-articular Hoffa fragment.

Key Benefits of Combined Fixation

• Accurate restoration of knee joint anatomy

• Stable fixation with plates and screws

• Secure compression of Hoffa fragment using Herbert screws

• Reduced risk of post-traumatic arthritis

• Early mobilization with guided rehabilitation

The surgery was performed using advanced orthopedic trauma techniques to ensure precise alignment and optimal healing.

Procedure Overview

Post-Surgical Recovery & Rehabilitation

After surgery, Mr. Nagraj was enrolled in a structured rehabilitation program focusing on:

• Gradual knee range of motion exercises

• Muscle strengthening

• Controlled weight-bearing progression

• Functional mobility training

Rehabilitation played a crucial role in restoring knee function.

Outcome

With precise surgical fixation and dedicated physiotherapy, Mr. Nagraj achieved:

• Good fracture alignment

• Stable joint surface restoration

• Progressive weight-bearing ability

• Return to functional daily activities

Advanced Trauma Care at Balanku Hospital

At Balanku Hospital, we are committed to:

• Managing complex knee and periarticular fractures

• Providing advanced fixation techniques

• Ensuring anatomical joint restoration

• Delivering comprehensive postoperative rehabilitation

We take pride in helping patients regain mobility and return to an active, pain-free life after serious orthopedic injuries.