Patella fractures treated with suture tension band fixation

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