iarjmcrIARJMCRIARJMCR2709-3220https://doi.org/10.47310/iarjmcr.2021.v02i01.005Isolated Medial Hoffa Fracture: A Case SeriesDevinderKumarguptaAmbrygargJindalKeertyGargVarshaGuptaNikhilGoreNavjyotKardaMedical Officer (Specialist) PCMS- 1, Civil Hospital, Mohali, Punjab, IndiaSenior resident, department of radiodiagnosis, Kalpana chawla Government Medical College, Karnal Haryana, IndiaAssistant professor, department of orthopedics, Kalpana chawla Government Medical College, Karnal Haryana, IndiaAssistant professor, department of Anaesthesia, Kalpana chawla Government Medical College, Karnal Haryana, IndiaDemonstrator, Department of community medicine, Kalpana Chawla Government medical college, Karnal, Haryana, IndiaJunior Resident, Department of orthopaedics, Kalpana Chawla Government medical college, Karnal Haryana, IndiaIntroduction: Hoffa in 1904 first described fractures of the femoral condyle in tangential plane and are now known as Hoffa fractures. Approach to isolated medial Hoffa fracture is, however, confusing. On reviewing literature, majority cases are operated using parapatellar arthrotomy, some through a medial (subvastus) approach, and few was fixed percutaneously.Materials and Methods: We studied 6 patients of medial Hoffa fracture presenting in Orthopedics department of Kalpana Chawala Government Medical College, Karnal. They were evaluated radiologically with X-rays of knee anteroposterior and lateral view. All patients were approached through subvastus approach, and were treated with screws and buttress plating. The follow up of patients was done after 2 weeks, 1 month, 3 months and 6 months post operatively. Results: The age of the patients ranged from 27-31 (Mean 29 years). Mean range of motion was 125.83(range 120-130). All our patients had radiological bony union at 6 months. Functional outcome was calculated by Knee society score which was average 84.16 (range 80-88), which comes under excellent category (80-100). Conclusion: We concluded that outcome results of operated case of isolated medial Hoffa’s fracture using medial subvastus approach and fixation of fracture with screws and buttress recon plate are excellent (as per knee society score).