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Nonhardware Subchondral Transosseous Cerclage for Displaced Comminuted Patella Fracture Repair: A Case Report
Philip G Ghobrial1, Steven C Chudik2,3
1Loyola University Chicago Stritch School of Medicine, Maywood, Illinois.
A novel surgical technique for patellar fractures, subchondral transosseous cerclage, successfully repaired a complex fracture. This method offers a promising alternative to traditional hardware for patella fracture fixation.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Biomedical Engineering
Background:
- Patellar fractures are common knee injuries.
- Traditional fixation methods can lead to complications.
- Anatomic reduction and stable fixation are crucial for optimal outcomes.
Observation:
- A 62-year-old woman presented with a displaced transverse comminuted patella fracture.
- The fracture involved significant comminution and articular surface disruption.
Findings:
- The fracture was successfully repaired using a subchondral transosseous suture cerclage technique.
- This technique utilizes dense subchondral bone for initial anatomic reduction.
- It effectively contained comminution and achieved fracture union without hardware complications.
Implications:
- Subchondral transosseous cerclage is a viable alternative for patellar fracture fixation.
- This technique may reduce complications associated with traditional hardware.
- Broader implementation could improve patient outcomes for patellar fractures.
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