Operative treatment of a unilateral bicondylar fracture of the femur

A case of isolated tangential fracture of the dorsal part of both condyles of the femur (bicondylar Hoffa fracture) is described. After open reduction , four lag screws were introduced through the fractured condyles to fur the fragments. A plaster cast was applied for a period of four weeks. Full wei ght-bearing was authorized after six weeks. Full range of motion of the kne e was observed as early as after three months, as well as: after twenty-one months. The mechanism and therapeutic implications are discussed and the literature is reviewed.