J Adjal1, I Ban2. 1. Department of Orthopaedic Surgery and Traumatology, Hvidovre Hospital, CORH (Clinical Orthopaedic Research Unit), Hvidovre and Amager University Hospitals, Kettegaard Alle 30, Hvidovre, Capital Region, 2650, Denmark. adjal.jonas@gmail.com. 2. Department of Orthopaedic Surgery and Traumatology, Hvidovre Hospital, CORH (Clinical Orthopaedic Research Unit), Hvidovre and Amager University Hospitals, Kettegaard Alle 30, Hvidovre, Capital Region, 2650, Denmark.
Abstract
BACKGROUND: Patella fractures requiring surgery are traditionally treated using metallic implants, which are associated with high re-operation rates, mainly due to implant prominence. To overcome the problem of prominent metallic implants, we present a technique based purely on braided sutures. METHODS: This technique is described in a step-wise, standardised way based on our findings on six patients treated at our institution. RESULTS: This technique can be adapted to all types of patella fractures. The described suture configuration allows maintenance of inter-fragmentary reduction until bony union without symptoms from the suture material. CONCLUSIONS: We believe that this technique is a safe and promising alternative to traditional metallic fixation methods.
BACKGROUND:Patella fractures requiring surgery are traditionally treated using metallic implants, which are associated with high re-operation rates, mainly due to implant prominence. To overcome the problem of prominent metallic implants, we present a technique based purely on braided sutures. METHODS: This technique is described in a step-wise, standardised way based on our findings on six patients treated at our institution. RESULTS: This technique can be adapted to all types of patella fractures. The described suture configuration allows maintenance of inter-fragmentary reduction until bony union without symptoms from the suture material. CONCLUSIONS: We believe that this technique is a safe and promising alternative to traditional metallic fixation methods.