# Case Report: Bicondylar conjoined Hoffa fracture with incarcerated patella

## TL;DR

A rare case of a complex knee fracture in a young man was successfully treated with surgery and rehabilitation.

## Contribution

This case report highlights a rare conjoined bicondylar Hoffa fracture with patellar incarceration and its successful management.

## Key findings

- Emergency treatments like debridement and cannulated screw fixation were effective.
- CT scans were crucial for accurate diagnosis and surgical planning.
- Anatomical reduction and rigid fixation led to excellent recovery and early mobilization.

## Abstract

Hoffa fractures, uncommon injuries of the femoral condyle, sometimes involve both condyles, forming bicondylar fractures, typically from high-velocity trauma. We describe a 17-year-old male with an open conjoined bicondylar Hoffa fracture and a patellar fracture with incarceration following a road traffic accident. Emergency treatments included debridement, irrigation, and cannulated screw fixation. Postoperative care involved controlled range-of-motion exercises and specialized rehabilitation.

Despite its rare and severe nature, this conjoined bicondylar Hoffa fracture with patellar incarceration was successfully managed, showing excellent recovery. CT scans are vital for accurate injury definition and surgical planning. Anatomical reduction and rigid fixation enable early mobilization and excellent long-term outcomes.