膝蓋骨骨軟骨骨折に対する吸収性インプラントを用いた縫合固定術

The osteochondral fractures (OCFs) of the patella are most common injuries of adolescence, usually associated with acute dislocation of patella. Although the acute cases are managed with a variety of options ranging from either conservative or removal or refixation, the latter seems to be the best option. While fixation using screws or bioabsorbable pins has been a standard practice, complications remain a concern. The use of suture fixation for treatment of such low-profile OCFs has gained popularity in recent times. However, each author has used the sutures in a random manner without a predefined methodology and guidelines. This Technical Note presents a step-by-step, standardized surgical technique using an implant, which offers a secure and bioresorbable fixation of acute patellar OCFs.