Modified cerclage and suture mesh fixation for comminuted patellar fracture - "Cobweb Technique": A case report

Displaced comminuted patellar fractures necessitate surgical treatment to restore the function of the extensor mechanism of the knee. One of the main challenges in the fixation of comminuted fracture of the patella is achieving an anatomic articular reduction with a stable fixation to allow early mobilization and prevent knee stiffness. Various common surgical fixation methods necessitate the use of metallic implants. Due to its superficial location, hardware-related complications and re-operations are common after patellar fixation. We present a case of a comminuted patellar fracture fixed using a modified cerclage and suture mesh fixation technique using high-strength braided nonabsorbable sutures. This provided a rigid fixation that allowed early range of motion while avoiding the risk of having symptomatic hardware.