# Subvastus Arthrotomy and Multifaceted Fixation in Medial Femoral Comminuted Hoffa's Fracture: A Case Report

## TL;DR

A 45-year-old man with a rare knee fracture was successfully treated using a specific surgical approach and fixation techniques.

## Contribution

This case report presents a successful surgical approach for a rare medial femoral comminuted Hoffa's fracture.

## Key findings

- Subvastus arthrotomy and multifaceted fixation techniques were successfully used for the fracture.
- The patient showed recovered knee function and radiographic signs of healing at one-year follow-up.

## Abstract

In managing orthopedic trauma, Hoffa's fracture, a rare intra-articular fracture affecting the femoral condyle, presents a unique challenge. We report a case of a 45-year-old male patient who had a traumatic injury and complained of substantial knee discomfort and limited range of motion. The patient had a medial femoral comminuted Hoffa's fracture. Subvastus arthrotomy was employed to handle the fracture successfully, and then a locking reconstruction plate, Herbert screws, and 4 mm cannulated screws were used for precise reduction and fixation. At the one-year follow-up, the patient showed acceptable postoperative results, including recovered knee function and radiographic indications of fracture repair.