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Injury. 2018 Aug;49(8):1623-1629. doi: 10.1016/j.injury.2018.06.008. Epub 2018 Jun 4.

Algorithmic treatment of Busch-Hoffa distal femur fractures: A technical note based on a modified Letenneur classification.

Author information

1
Department of the Locomotor Apparatus, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil; Department of Orthopedics, Felicio Rocho Hospital, Belo Horizonte, MG, Brazil. Electronic address: robinsonestevespires@gmail.com.
2
Orthopaedic Trauma Department, Miguel Couto Hospital, Rio de Janeiro, RJ, Brazil.
3
Department of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, School of Medicine of Ribeirão Preto, University of São Paulo, Brazil.
4
Division of Orthopedic Trauma & Adult Reconstruction, Department of Orthopedic Surgery, Jersey City Medical Center - RWJ Barnabas Health Jersey City, NJ, United States.
5
Department of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, School of Medicine of Ribeirão Preto, University of São Paulo, Brazil; Missouri Orthopedic Institute, University of Missouri, Columbia, United States.

Abstract

Treatment of distal femur fractures in the coronal plane can be challenging. Depending on fracture line orientation, topography and associated comminution, decision-making regarding approach and fixation is not straightforward and can result in complications. Therefore, treatment of coronal plane distal femur fractures (Busch-Hoffa fractures) should be approached in a systematic manner, leading to efficient planning and operative execution. Here, we offer a proposed treatment algorithm, guiding treatment, approach and fixation based on the modified Letenneur classification of coronal plane distal femur fractures.

KEYWORDS:

Articular fracture; Busch-Hoffa fracture; Coronal plane fracture; Distal femur fracture; Fracture fixation; Hoffa fracture; Internal fixation; Knee fracture; Open reduction; Surgical approach

PMID:
29885965
DOI:
10.1016/j.injury.2018.06.008
[Indexed for MEDLINE]

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