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

Advanced Knee Trauma Surgery at Balanku Hospital

Distal femur fractures are complex 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 challenging as it involves the weight-bearing surface of the knee.

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

Understanding the Condition

Mr. Chetan presented with:

• Severe pain around the right knee

• Swelling and deformity

• Inability to bear weight

• Restricted knee movement

Clinical examination and imaging confirmed a Right Distal Femur Fracture with Hoffa’s fracture, a serious injury affecting the stability and alignment of the knee joint.

Precise anatomical reduction is essential in such cases to restore joint congruity and prevent long-term complications such as stiffness and post-traumatic arthritis.

Surgical Procedure Performed

Open Reduction and Internal Fixation (ORIF)

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

CC Screw Fixation for Hoffa’s Fragment

The Hoffa’s fragment was stabilized using CC (Cannulated Cancellous) screws, which provide:

• Strong compression across the fracture site

• Stable fixation of the intra-articular fragment

• Preservation of joint surface anatomy

• Enhanced fracture healing

This combined fixation ensured stable reconstruction of both the distal femur and the Hoffa fragment.

Key Benefits of Combined Fixation

• Accurate restoration of knee joint anatomy

• Stable internal fixation

• Reduced risk of joint surface irregularity

• Improved functional recovery

• Early mobilization under supervision

The procedure was performed using advanced orthopedic trauma techniques to achieve precise alignment and stable healing.

Procedure Overview

Post-Surgical Recovery & Rehabilitation

Following surgery, Mr. Chetan was enrolled in a structured rehabilitation program focusing on:

• Gradual restoration of knee range of motion

• Muscle strengthening exercises

• Controlled weight-bearing progression

• Functional mobility training

Rehabilitation played a vital role in restoring knee stability and strength.

Outcome

With successful surgical fixation and guided physiotherapy, Mr. Chetan achieved:

• Good fracture alignment

• Stable joint surface restoration

• Progressive weight-bearing ability

• Return to daily functional activities

Advanced Orthopedic Trauma Care at Balanku Hospital

At Balanku Hospital, we are committed to:

• Managing complex knee fractures

• Using advanced fixation techniques

• Restoring joint anatomy and stability

• Providing comprehensive postoperative rehabilitation

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