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【Abstract】Hoffa fracture is an uncommon injury. In the literature, lateral condylar Hoffa fracture is mentioned as a more common injury pattern than medial condylar Hoffa fracture. The mechanism of injury and method of treatment is not very well described in the literature. We are present- ing a rare case of comminuted medial condylar Hoffa frac- ture with ipsilateral patellar fracture. The mechanism of in- jury has not been described in the literature. Lag screw fixation, which is the most acceptable method of treatment, is not possible due to comminution. We explain the pos- sible mechanism of injury and fix the fracture with L-but- tress plate. Key words: Fractures, bone; Knee joint; Femur; Pa- tella