Suture-Based Technique for Patellar Osteochondral Fractures Fixation Using an All-Absorbable Implant.

Abstract

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.