Current concepts review: Fractures of the patella.

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Abstract

18. J Orthop Surg Res. 2021 Mar 9;16(1):179. doi: 10.1186/s13018-021-02309-5. Patella fractures treated with suture tension band fixation. Adjal J(1), Ban I(2). Author information: (1)Department of Orthopaedic Surgery and Traumatology, Hvidovre Hospital, CORH (Clinical Orthopaedic Research Unit), Hvidovre and Amager University Hospitals, Kettegaard Alle 30, Hvidovre, Capital Region, 2650, Denmark. adjal.jonas@gmail.com. (2)Department of Orthopaedic Surgery and Traumatology, Hvidovre Hospital, CORH (Clinical Orthopaedic Research Unit), Hvidovre and Amager University Hospitals, Kettegaard Alle 30, Hvidovre, Capital Region, 2650, Denmark. BACKGROUND: Patella fractures requiring surgery are traditionally treated using metallic implants, which are associated with high re-operation rates, mainly due to implant prominence. To overcome the problem of prominent metallic implants, we present a technique based purely on braided sutures. METHODS: This technique is described in a step-wise, standardised way based on our findings on six patients treated at our institution. RESULTS: This technique can be adapted to all types of patella fractures. The described suture configuration allows maintenance of inter-fragmentary reduction until bony union without symptoms from the suture material. CONCLUSIONS: We believe that this technique is a safe and promising alternative to traditional metallic fixation methods. DOI: 10.1186/s13018-021-02309-5 PMCID: PMC7942173