{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T17:11:24Z","timestamp":1776618684304,"version":"3.51.2"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,1,30]],"date-time":"2022-01-30T00:00:00Z","timestamp":1643500800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the efficacy of distal femur condyle locking plate (DFCLP) alone or in combination with cannulated screws for Hoffa fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this study, between May 2014 and February 2019, 13 patients between 26 and 64\u2009years with isolated Hoffa fractures were enrolled during the study period and retrospectively analyzed. All patients underwent open reduction and internal fixation by DFCLP alone or in combination with cannulated screws followed by early active rehabilitation postoperatively. The primary outcome was evaluated using range of movement (ROM), Knee Society Score (KSS), International Knee Documentation Committee (IKDC) scoring system, and the fracture healing time of the patients during the 24\u2010month follow\u2010up period. Postoperative complications were also used to assess the patients\u2019 conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 13 patients completed the 24\u2010month follow\u2010up assessment and achieved bone re\u2010union at Hoffa fracture sites. The average follow\u2010up period was 24.5\u2009months (ranging from 24 to 28\u00a0months). Six patients were treated by DFCLP in combination with cannulated screws and the remaining seven patients were treated by DFCLP alone. The mean ROM was determined as 119\u00b0 (ranging from 100\u00b0 to 130\u00b0). The mean KSS score was 87.9 (ranging from 80 to 92 points), with 11 patients evaluated as excellent, two as good, and zero bad cases. The mean IKDC score was 84.2 (ranging from 74.7 to 89.7 points), with 10 evaluated as excellent, three as good, and zero bad cases. The mean IKDC score was 83.3 for patients with medial Hoffa fractures and 84.4 for those with lateral Hoffa fractures. The average time to healing was 3.5\u2009months (ranging from 3 to 4\u2009months), and at month 3, the fracture healing was evident in seven patients (54%), and at month 4, fracture healing was seen in six patients (46%). It is worth mentioning that two patients suffered from knee joint stiffness and osteoarthritis during the 24\u00a0months follow\u2010up. Eleven patients (84.6%) achieved satisfactory knee joint function through early postoperative rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In patients with Hoffa fractures, treatment with DFCLP alone or in combination with cannulated screws followed by early active rehabilitation resulted in great stability and satisfactory functional outcomes after 24\u00a0months. Our findings may provide surgeons with a new way to treat Hoffa fractures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.13201","type":"journal-article","created":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T01:00:41Z","timestamp":1643590841000},"page":"492-500","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Locking Plate Alone or in Combination with Cannulated Screws for Hoffa Fractures: A Retrospective Study"],"prefix":"10.1111","volume":"14","author":[{"given":"Zhen","family":"Li","sequence":"first","affiliation":[{"name":"The Second Clinical Medical College of Guangzhou University of Chinese Medicine  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenyue","family":"Chen","sequence":"additional","affiliation":[{"name":"The First Clinical Medical College of Guangzhou University of Chinese Medicine  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaotan","family":"Wang","sequence":"additional","affiliation":[{"name":"The First Clinical School, Shandong University of Traditional Chinese Medicine  Jinan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingyin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics the First Affiliated Hospital of Shandong University of Traditional Chinese Medicine  Jinan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lizhong","family":"Jing","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics the First Affiliated Hospital of Shandong University of Traditional Chinese Medicine  Jinan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zehui","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Guangdong Provincial Hospital of Traditional Chinese Medicine  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7527-6755","authenticated-orcid":false,"given":"Xuewei","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Guangdong Provincial Hospital of Traditional Chinese Medicine  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,1,30]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-015-2730-x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2015.05.027"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200503000-00013"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.95B9.30656"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.11.026"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-014-2015-2"},{"issue":"3","key":"e_1_2_7_8_1","first-page":"213","article-title":"Fractures de Hoffa a propos de 20 observations [Hoffa's fractures. Report of 20 cases (author's transl)]","volume":"32","author":"Letenneur J","year":"1978","journal-title":"Ann Chir"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tcr.2021.100443"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2020.07.032"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-013-1224-z"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.03.044"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/2309499017718928"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.CC.19.00250"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1262319"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.5704\/MOJ.1707.016"},{"issue":"3","key":"e_1_2_7_17_1","first-page":"183","article-title":"Nonunion of a Hoffa fracture in an adult","volume":"93","author":"Ozt\u00fcrk A","year":"2009","journal-title":"Chir Organi Mov"},{"issue":"2","key":"e_1_2_7_18_1","first-page":"79","article-title":"Internal fixation with headless compression screws and back buttress plate for treatment of old Hoffa fracture","volume":"17","author":"Min L","year":"2014","journal-title":"Chin J Traumatol"},{"issue":"2","key":"e_1_2_7_19_1","first-page":"132","article-title":"Unicondylar femoral fractures: therapeutic strategy and long\u2010term results. 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