Nonhardware Subchondral Transosseous Cerclage for Displaced Comminuted Patella Fracture Repair

Abstract

Case: We report a case of a 62-year-old woman who presented to our clinic with a displaced transverse comminuted patella fracture. The fracture was repaired using a subchondral transosseous suture cerclage technique which uses the dense subchondral bone to obtain an initial anatomic reduction of the articular surface, contain the comminution, and achieve union while avoiding complications associated with traditional hardware. Conclusion: This case illustrates the potential for the broader implementation of subchondral transosseous cerclage suture fixation techniques for patellar fractures.

Suture Bridge Technique with 5-Ethibond: A Promising Approach for Infrapatellar Pole Fracture Treatment

“…6,7 With the advancement of suture material, suture fixation has emerged as a viable method for treating infrapatellar pole fracture and tendon ruptures. 8 Suture fixation has been associated with minimal soft tissue irritation, lower reoperation rate, and favorable knee range of motion and functional. 4,9,10 The Suture Bridge technique is a surgical method commonly used in orthopedics for the repair of tendon or ligament injuries, particularly in the shoulder and knee joints.…”

“…All cases demonstrated fracture healing at an average of 10 weeks (range 8-12) after surgery. The patients were followed up for an average period of 14.8 months (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22). No wound infection or second displacement of fracture fragment was found.…”