PMC10152947_01
Plain Radiograph of Knee Anterior-posterior (a) and oblique view (b) showing the coronal fracture line involving both femoral condyles.
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F1
Radiological examination of the involved knee included the anterior-posterior and oblique views (Fig. 1) showing patella alta, suggesting the patellar tendon avulsion with fracture of anterior tibial spine and lateral-oblique view showing non-conjoint bicondylar Hoffa fracture.
Plain radiograph of knee Anterior-posterior (a) and Lateral view (b) following immediate fixation of bicondylar Hoffa fracture, Tibial spine Avulsion, and Patellar tendon repair.
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F2
The anterior tibial spine fragment was fixed with 4.0 mm partially threaded cannulated cancellous screw and the patellar tendon avulsion was fixed to the tibia with ethibond trans-osseous suturing (Fig. 2).
Clinical photograph showing the knee in extension (a) and Flexion (b) at 6-month follow-up and range of movements are 5-75 .
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F3
At the end of 6 months, knee flexion further improved to 35  (Fig. 3) with the healing of the fracture (Fig. 4).