Double-Row Suture Anchor Fixation for Inferior Pole Patella Fracture: A Novel Technique

Inferior pole patella fractures are challenging to treat due to small, comminuted fragments and the high tensile forces generated by the extensor mechanism. Conventional surgical fixation techniques are associated with implant irritation, migration, hardware failure, and the need for secondary procedures. This case report describes a novel double-row suture anchor fixation technique with suture tape augmentation for treating an inferior pole patella fracture. An 80-year-old patient with a displaced comminuted inferior pole fracture underwent surgical fixation using obliquely inserted double-row suture anchors and a supplementary figure-of-eight tension-band construct. Early union, good reduction, and restoration of knee range of motion were achieved without complications. This technique provided stable fixation, minimized soft-tissue irritation, and required minimal intraoperative fluoroscopy. The described method represents a reliable and reproducible alternative to conventional metallic fixation, particularly in osteoporotic bone.