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

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.

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Publication Details

Journal
Arthroscopy Techniques
Published
2025-09-27
DOI
https://doi.org/10.1016/j.eats.2025.103896
Primary Topic
Lower Extremity Biomechanics and Pathologies
Type
article
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article

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

Deepak Goyal
Arthroscopy Techniques
Lower Extremity Biomechanics and Pathologies
article

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

Deepak Goyal
article en

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.

Arthroscopy TechniquesVol. 14(11)
Openalex Percentile: Top 74%
Lower Extremity Biomechanics and Pathologies
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