Successful single stage management of trifocal femoral fracture associated with distal medial condyle and Hoffa’s component by a novel technique

<p>Isolated fractures of the shaft femur are relatively common injuries. Ipsilateral multifocal less with an additional proximal femoral fracture estimated to occur in up 5% diaphyseal and distal occurring 3-4%. Trifocal consisting ipsilateral proximal, diaphyseal, extremely rare. These patterns seen young adult population following high velocity trauma such as fall from height road traffic accidents. The sequence type be fixed first implant used questions yet answered one for fixation may not amenable other fracture. associated significant complications delayed rehabilitation. We describe a novel method trifocal pattern where intra-articular medial condyle hoffas element was stabilised by open reduction 4.5 tibial ipsi-lateral anterolateral LCP 2 inter-fragmentary compression screws which has been reported literature before. advantages is easy contour ability adequate strength achieving satisfactory absolute stability options using uni-cortical locking screws, all facilitates early knee ROM rehabilitation.</p><p> </p>