Patella fractures treated with suture tension band fixation.

Abstract

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. This technique is described in a step-wise, standardised way based on our findings on six patients treated at our institution. 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. We believe that this technique is a safe and promising alternative to traditional metallic fixation methods.