A Rare Case of Knee Orthogonal Injury in a Poliotic Limb, Managed Arthroscopically.

Introduction: Medial Hoffa fractures are exceptionally rare, especially when associated with intra-articular knee injuries (anterior cruciate ligament, medial collateral ligament, and meniscus tears). The discussed case highlights a single-stage fully arthroscopic fixation of a medial Hoffa fracture with associated ligament and meniscal injuries - representing a novel and effective, though challenging, treatment option. This is the first report of this kind in the literature. Case Report: A 42-year-old male patient presented 5 days after an injury to the left knee after a slip and fall in the bathroom. The knee was swollen, unstable, and painful, and the patient was a known case of left poliotic lower limb. Conclusion: This case represents the first documented instance of a fully arthroscopic fixation of a medial Hoffa fracture with simultaneous ligament and meniscal repair in a poliotic patient.