operative treatment of isolated bicondylar hoffa fracture with a modified swashbuckler approach

conclusions in our study, we treated this rare fracture successfully using a modified swashbuckler approach and found it to be a good approach for such fractures as compared to the conventional approach. case presentation a 32-year-old male sustained a bicondylar hoffa fracture of the right femur which was treated by open reduction and internal fixation using a modified swashbuckler approach. at two years of follow-up, the patient had excellent radiological and functional outcome. introduction an isolated coronal fracture of either or both femoral condyles is a rare entity and is usually associated with high-energy injury trauma. such fractures should be meticulously fixed for a good functional outcome as they involve the articular surface of a weight bearing joint. a modified swashbuckler approach provides adequate exposure for appropriate reduction and fixation of such fractures.