scholarly journals Successful Pain Relief With Duloxetine in a Patient With Chronic Postsurgical Pain After Open Reduction and Internal Fixation: A Case Report

Cureus ◽  
2021 ◽  
Author(s):  
Takahiro Machida ◽  
Hinako Katayama ◽  
Osamu Yoshida ◽  
Akihisa Watanabe
2009 ◽  
Vol 20 (3) ◽  
pp. 329-330 ◽  
Author(s):  
Ghias Bhattee ◽  
Mohammad Sayed Rahman ◽  
Jessica Rahman

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Amit Supe ◽  
Shubham Atal ◽  
Neetin P Mahajan ◽  
Prasanna Kumar. G S ◽  
Amey Sadar ◽  
...  

Introduction: Hoffa is a coronal fracture of the femoral condyle. It is an uncommon injury easily missed on X-rays, which later presents as a non-union. Computed tomography (CT) scan knee helps in diagnosing undisplaced fractures and planning the management. Case Report: A 24-year-old male patient presented to us with complaints of pain, decreased range of knee movements, difficulty in walking and clicking sound at the left knee for 9 years. The patient had a history of trauma 9 years back. X-ray of the left knee showed the non-union of left lateral Hoffa fracture, which was managed with open reduction and internal fixation with CC screws using the lateral para patellar approach. At present 1.5 years follow-up, the patient is comfortable with no pain and having a complete knee range of motion. Conclusion: Although Hoffa fracture is rare, clinical suspicion, along with radiological investigations, is essential to diagnose Hoffa fracture. A missed diagnosis can lead to malunion or non-union, which predisposes to knee arthritis. Timely and proper management of Hoffa non-union with open reduction, stable internal fixation and early knee mobilization help in getting a better outcome. Keywords: Lateral Hoffa fracture, non-union, internal fixation, functional outcome.


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