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Isolated coronal fracture of medial femoral condyle with intact lateral femoral condyle is extremely rare. A high index of suspicion is necessary for early diagnosis especially in cases of undisplaced fractures. Here we report a case of medial Hoffa fracture in a post-polio limb presenting as chronic pain. Management of such fractures in limbs affected by late sequelae of poliomyelitis is particularly problematic in was approached through medial parapatellar arthrotomy and fi xation was done with cannulated cancellous screws in anteroposterior direction. Union was achieved at 16 weeks. Key words: Femoral fractures; Poliomyelitis; Fracture fi xation, internal