A Novel Transosseous Suture Repair Technique for Inferior Pole Patella Fractures Using a Suture Anchor: A Case Series...

Area of Science:

• Orthopedic Surgery
• Trauma Management
• Skeletal Repair

Background:

• Fractures of the inferior patellar pole present fixation challenges due to poor bone quality and limited secure options.
• Existing methods may not adequately address the biomechanical demands of this specific fracture pattern.

Purpose of the Study:

• To introduce and evaluate a novel surgical technique for managing inferior patellar pole fractures.
• To assess the efficacy and safety of a Krackow suture technique combined with transosseous suture anchor fixation.

Main Methods:

• A retrospective cohort study of ten patients with inferior patellar pole fractures.
• Utilized Krackow suture technique on the patellar tendon and longitudinal transosseous, upside-down suture anchor fixation.
• Minimum six-month follow-up assessing bony union, gap formation, range of motion, function, and complications.

Main Results:

• All ten patients achieved complete bone union without gap formation at six months.
• Full range of motion and functional recovery were observed in all patients.
• No postoperative complications, including anterior knee pain or refracture, were reported.

Conclusions:

• The novel technique for inferior patellar pole fractures is a simple and effective surgical procedure.
• This method provides stable fixation and leads to favorable functional outcomes.
• The described approach offers a reliable solution for managing these challenging fractures.