{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T05:59:43Z","timestamp":1773035983088,"version":"3.50.1"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T00:00:00Z","timestamp":1772928000000},"content-version":"vor","delay-in-days":66,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Orthopedics"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Hoffa fractures, accounting for 0.65% of femoral fractures, are rare injuries to the distal femur, typically affecting the lateral condyle. These fractures are often overlooked in radiographs and pose challenges in classification, as traditional systems like Letenneur\u2032s may not adequately address certain unique fracture patterns, as seen in the present case.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 25\u2010year\u2010old male with trauma to the left knee and pelvis was diagnosed with a pelvic open\u2010book injury and a coronal split Hoffa fracture of the lateral femoral condyle. Surgical fixation involved external fixation for the pelvis and a posterolateral approach for the knee fracture, followed by a nonweight\u2010bearing regimen and rehabilitation exercises.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The patient showed significant improvement in both range of motion (ROM) and functional outcomes over follow\u2010up visits. Flexion increased from 25\u00b0 preoperatively to 125\u00b0 at 6 months, and the Neer score improved from 30 to 90, indicating an excellent outcome (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009value\u20130.0077 for Neer score, 0.0144 for ROM).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Hoffa fractures are often missed on standard radiographs and require CT for accurate diagnosis. Existing classification systems offer limited guidance, as these fractures can present with varied patterns. In our case, a unique fracture pattern necessitated a posterolateral approach with lag screws from posterior to anterior, ensuring a proper reduction and fixation, in line with the principles of anatomical reduction and early mobilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Hoffa fractures are challenging to diagnose and treat due to their atypical patterns. Preoperative CT planning and flexible surgical approaches, such as our use of posterior\u2010to\u2010anterior lag screws, are crucial. Focusing on anatomical reduction and early mobilization can optimize recovery, with further research needed to refine classifications and improve outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/cro\/6459565","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T05:01:02Z","timestamp":1773032462000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Complexities in Hoffa Fracture Management: A Case Report on Diagnosis and Fixation Technique"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7849-7905","authenticated-orcid":false,"given":"Rohan","family":"Ratra","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anand. K","family":"Goyal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,8]]},"reference":[{"key":"e_1_2_10_1_2","first-page":"132","article-title":"Unicondylar Femoral Fractures: A Review of 23 Patients","volume":"6","author":"Manfredini M.","year":"2001","journal-title":"Acta Orthop Belgia"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-015-2730-x"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.71B1.2914979"},{"key":"e_1_2_10_4_2","volume-title":"The Comprehensive Classification of Fractures of Long Bones","author":"Book: M\u00fcller M. E.","year":"1990"},{"key":"e_1_2_10_5_2","doi-asserted-by":"crossref","first-page":"20","DOI":"10.13107\/ti.2016.v02i01.015","article-title":"Distal Femur AO Type 33 B\u2014Surgical Options, Results and Complications (Including Hoffa\u2032s Fracture)","volume":"2","author":"Jain S.","year":"2016","journal-title":"Trauma International"},{"key":"e_1_2_10_6_2","first-page":"213","article-title":"Hoffa\u2032s fractures. Report of 20 cases (author\u2032s transl)","volume":"32","author":"Letenneur J.","year":"1978","journal-title":"Annales de Chirurgie"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2019.12.011"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1051\/sicotj\/2019016"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196749040-00001"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.06.008"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2011.09.005"}],"container-title":["Case Reports in Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cro\/6459565","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/cro\/6459565","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cro\/6459565","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T05:01:04Z","timestamp":1773032464000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/cro\/6459565"}},"subtitle":[],"editor":[{"given":"Shashank","family":"Kaushik","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/cro\/6459565"],"URL":"https:\/\/doi.org\/10.1155\/cro\/6459565","archive":["Portico"],"relation":{},"ISSN":["2090-6749","2090-6757"],"issn-type":[{"value":"2090-6749","type":"print"},{"value":"2090-6757","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-03-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"6459565"}}