Medial Hoffa’s Fracture Treated with Subvastus Approach – Case Series

Introduction: Medial Hoffa's fractures are rare coronal plane fractures of the distal femur, often missed on initial radiographs. Early diagnosis and anatomical fixation are essential for good functional recovery. Case Report: We present three cases of medial Hoffa's fracture in adult patients following high-energy trauma. All were diagnosed using computed tomography scans. Surgical fixation was performed using headless compression screws through a subvastus approach. Post-operative rehabilitation protocols varied slightly, but all patients achieved satisfactory union and function by 6-9 months. Conclusion: High suspicion, advanced imaging, and stable fixation are vital for optimal outcomes in medial Hoffa's fractures. Consistent anatomical reduction across cases resulted in excellent functional recovery.