Retrospective cohort study of 189 patients with 202 supracondylar-intercondylar distal femoral fractures (AO/OTA 33-C), evaluating how often coronal plane (Hoffa) fractures co-occur and whether CT scanning improves their detection compared with plain radiographs alone.
For any supracondylar-intercondylar distal femoral fracture — especially open injuries — obtain preoperative CT with sagittal reformats: coronal plane fractures are present in over one-third of cases, plain films miss nearly one-third of fragments, and an unrecognized Hoffa component discovered mid-fixation can force an unplanned implant change and compromise the reconstruction.
Retrospective cohort study of 189 patients with 202 supracondylar-intercondylar distal femoral fractures (AO/OTA 33-C), evaluating how often coronal plane (Hoffa) fractures co-occur and whether CT scanning improves their detection compared with plain radiographs alone.
For any supracondylar-intercondylar distal femoral fracture — especially open injuries — obtain preoperative CT with sagittal reformats: coronal plane fractures are present in over one-third of cases, plain films miss nearly one-third of fragments, and an unrecognized Hoffa component discovered mid-fixation can force an unplanned implant change and compromise the reconstruction.