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Tran, Duy, Huang, Yen-Wei, Kuo, Yi-Jie, Nguyen, Tan, Cheng, Shun-Jen, Chen, Yu-Pin. (1404). A Novel Transosseous Suture Repair Technique for Inferior Pole Patella Fractures Using a Suture Anchor: A Case Series and Technical Note. , 13(7), 435-441. doi: 10.22038/abjs.2025.82192.3741
Duy Nguyen Anh Tran; Yen-Wei Huang; Yi-Jie Kuo; Tan Thanh Nguyen; Shun-Jen Cheng; Yu-Pin Chen. "A Novel Transosseous Suture Repair Technique for Inferior Pole Patella Fractures Using a Suture Anchor: A Case Series and Technical Note". , 13, 7, 1404, 435-441. doi: 10.22038/abjs.2025.82192.3741
Tran, Duy, Huang, Yen-Wei, Kuo, Yi-Jie, Nguyen, Tan, Cheng, Shun-Jen, Chen, Yu-Pin. (1404). 'A Novel Transosseous Suture Repair Technique for Inferior Pole Patella Fractures Using a Suture Anchor: A Case Series and Technical Note', , 13(7), pp. 435-441. doi: 10.22038/abjs.2025.82192.3741
Tran, Duy, Huang, Yen-Wei, Kuo, Yi-Jie, Nguyen, Tan, Cheng, Shun-Jen, Chen, Yu-Pin. A Novel Transosseous Suture Repair Technique for Inferior Pole Patella Fractures Using a Suture Anchor: A Case Series and Technical Note. , 1404; 13(7): 435-441. doi: 10.22038/abjs.2025.82192.3741

A Novel Transosseous Suture Repair Technique for Inferior Pole Patella Fractures Using a Suture Anchor: A Case Series and Technical Note

The Archives of Bone and Joint Surgery
مقاله 7، دوره 13، شماره 7، مهر 2025، صفحه 435-441    اصل مقاله (994.55 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2025.82192.3741
نویسندگان
Duy Nguyen Anh Tran1؛ Yen-Wei Huang2؛ Yi-Jie Kuo3؛ Tan Thanh Nguyen4؛ Shun-Jen Cheng2؛ Yu-Pin Chen* 3
11 The International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan 2 Department of Orthopedics, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam
2Department of Orthopedics, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
33 Department of Orthopedics, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan 4 Department of Orthopedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
4Department of Orthopedics, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam
چکیده
Objectives: Fractures located at the inferior pole of the patella pose challenges in terms of fracture 
fixation, primarily due to inadequate bone quality at the lower pole and typically limited options for 
secure fixation. This study introduces a novel approach that i nvolves employing the Krackow suture 
technique on the patellar tendon, followed by a longitudinal transosseous and upside -down fixation at 
the superior aspect of the patella using a suture anchor to address this challenge.
Methods: A retrospective cohort case series was conducted at a single center, involving ten patients with fractures 
at the lower pole of the patella. Follow-up assessments were performed for a minimum of six months to observe 
postoperative gap formation and evaluate bony union. Knee motion, pain, function, and any intra- and postoperative 
complications were documented throughout the follow-up periods.
Results: All patients exhibited complete bone union without gap formation six months postoperatively, accompanied 
by a regained full range of motion without any functional limitations. No instances of postoperative anterior knee 
pain, refracture of the inferior patellar pole, or other complications were reported during the follow-up period.
Conclusion: The innovative technique involving longitudinal transosseous and upside-down suture anchor repair 
for the management of inferior patellar pole fractures is a straightforward and easily executable surgical procedure. 
This method offers stable fixation and yields favorable functional outcomes.
 Level of evidence: IV
کلیدواژه‌ها
Anchor suture؛ Fixation؛ Krackow suture technique؛ Patellar inferior pole fracture؛ Transosseous suture
مراجع
  1. Larsen P, Court-Brown CM, Vedel JO, Vistrup S, Elsoe R. Incidence and Epidemiology of Patellar Fractures. Orthopedics. 2016; 39(6):e1154-e1158. doi:10.3928/01477447-20160811-01.
  2. Kruse M, Wolf O, Mukka S, Brüggemann A. Epidemiology, classification and treatment of patella fractures: an observational study of 3194 fractures from the Swedish Fracture Register. Eur J Trauma Emerg Surg. 2022; 48(6):4727-4734. doi:10.1007/s00068-022-01993-0.
  3. Court-Brown CM, Clement ND, Duckworth AD, Biant LC, McQueen MM. The changing epidemiology of fall-related fractures in adults. Injury. 2017; 48(4):819-824. doi:10.1016/j.injury.2017.02.021.
  4. Chang CH, Shih CA, Kuan FC, Hong CK, Su WR, Hsu KL. Surgical treatment of inferior pole fractures of the patella: a systematic review. J Exp Orthop. 2023; 10(1):58. doi:10.1186/s40634-023-00622-y.
  5. Marder RA, Swanson TV, Sharkey NA, Duwelius PJ. Effects of partial patellectomy and reattachment of the patellar tendon on patellofemoral contact areas and pressures. J Bone Joint Surg Am. 1993; 75(1):35-45. doi:10.2106/00004623-199301000-00006.
  6. Matejčić A, Puljiz Z, Elabjer E, Bekavac-Bešlin M, Ledinsky M. Multifragment fracture of the patellar apex: basket plate osteosynthesis compared with partial patellectomy. Arch Orthop Trauma Surg. 2008; 128(4):403-8. doi:10.1007/s00402-008-0572-3.
  7. He QF, Pan GB, Yu ZF, et al. Novel Rim Plating Technique for Treatment of the Inferior Pole Fracture of the Patella. Orthop Surg. 2021; 13(2):651-658. doi:10.1111/os.12876.
  8. Ma XY, Cui D, Liu B, et al. Treating Inferior Pole Fracture of Patella with Hand Plating System: First Clinical Results. Orthop Surg. 2023; 15(1):266-275. doi:10.1111/os.13539.
  9. Gu H, Zhu S, Li T, Wu X. Combination of Cable Cerclage and Hook Plate for the Fixation of Comminuted Fractures of Inferior Patellar Pole: A Review of 16 Consecutive Patients Followed Up for a Minimum of 1 Year. Orthop Surg. 2022; 14(11):3111-3118. doi:10.1111/os.13481.
  10. Chen R, Cao H, Sun Z, et al. The clinical outcome of the reduction of the patellar inferior pole fracture with wire cerclage through a generated bone hole, in combination with patellar concentrator: a retrospective comparative study. J Orthop Surg Res. 2022; 17(1):117. doi:10.1186/s13018-022-03014-7.
  11. Jian Z, Jia J, Zeng L, et al. Ring-Pins combined with cable cerclage for the fixation of displaced inferior patellar pole fractures. Front Surg. 2022; 9:1043822. doi:10.3389/fsurg.2022.1043822.
  12. Kim KS, Suh DW, Park SE, Ji JH, Han YH, Kim JH. Suture anchor fixation of comminuted inferior pole patella fracture-novel technique: suture bridge anchor fixation technique. Arch Orthop Trauma Surg. 2021; 141(11):1889-1897. doi:10.1007/s00402-020-03671-5.
  13. Gao Z, Long N, Yao K, et al. A Novel Technique for the Treatment of Inferior Pole Fractures of the Patella: A Preliminary Report. Orthop Surg. 2022; 14(11):3092-3099. doi:10.1111/os.13518.
  14. Hu J, Guo X. An improvement on the technique of transosseous tunnels for the fixation of lower pole patella fracture: Cerclage around the patella. Medicine (Baltimore). 2022; 101(9):e28979. doi:10.1097/MD.0000000000028979.
  15. Seggewiss J, Nicolini LF, Lichte P, et al. Transosseous suture versus suture anchor fixation for inferior pole fractures of the patella in osteoporotic bone: a biomechanical study. Eur J Med Res. 2022;27(1):270. doi:10.1186/s40001-022-00903-9.
  16. Ettinger M, Dratzidis A, Hurschler C, et al. Biomechanical properties of suture anchor repair compared with transosseous sutures in patellar tendon ruptures: a cadaveric study. Am J Sports Med. 2013; 41(11):2540-4. doi:10.1177/0363546513500633.
  17. O'Donnell R, Lemme NJ, Marcaccio S, et al. Suture Anchor Versus Transosseous Tunnel Repair for Inferior Pole Patellar Fractures Treated With Partial Patellectomy and Tendon Advancement: A Biomechanical Study. Orthop J Sports Med. 2021; 9(8):23259671211022245. doi:10.1177/23259671211022245.
  18. Nguyen HT, Nguyen BT, Thai THN, et al. Prevalence, incidence of and risk factors for vertebral fracture in the community: the Vietnam Osteoporosis Study. Sci Rep. 2024; 14(1):32. doi:10.1038/s41598-023-50145-w.
  19. Shen Y, Huang X, Wu J, et al. The Global Burden of Osteoporosis, Low Bone Mass, and Its Related Fracture in 204 Countries and Territories, 1990-2019. Front Endocrinol (Lausanne). 2022; 13:882241. doi:10.3389/fendo.2022.882241.
  20. Meinberg EG, Agel J, Roberts CS, Karam MD, Kellam JF. Fracture and Dislocation Classification Compendium-2018. J Orthop Trauma. 2018; 32 Suppl 1:S1-S170. doi:10.1097/BOT.0000000000001063.
  21. Böstman O, Kiviluoto O, Nirhamo J. Comminuted displaced fractures of the patella. Injury. 1981; 13(3):196-202.
  22. Krackow KA, Thomas SC, Jones LC. A new stitch for ligament-tendon fixation. Brief note. JBJS. 1986; 68(5):764-766.
  23. Odat MM. Patella. In: Buckley RE, Moran CG, Apivatthakakul T, eds. AO Principles of Fracture Management. 3st ed. 2017:853-864: chap Patella.
  24. Huang W, Wu T, Wei Q, Peng L, Cheng X, Gao G. Suture repair of patellar inferior pole fracture: Transosseous tunnel suture compared with anchor suture. Exp Ther Med. 2021; 22(3):998. doi:10.3892/etm.2021.10430.
  25. Xie J, Fu Y, Li J, Yu H, Zhang Y, Jing J. Anchor and Krackow-"8" Suture for the Fixation of Distal Pole Fractures of the Patella: Comparison to Kirschner Wire. Orthop Surg. 2022; 14(2):374-382. doi:10.1111/os.13124.
  26. Park YG, Choi S, Kim BS, Lee SJ, Kim DY, Lim C. Tension band wiring versus suture anchor technique in patellar inferior pole fracture: Novel double row suture anchor technique. Ann Med Surg (Lond). 2022; 84:104822. doi:10.1016/j.amsu.2022.104822.
  27. Bushnell BD, Byram IR, Weinhold PS, et al. The use of suture anchors in repair of the ruptured patellar tendon: a biomechanical study. Am J Sports Med. 2006; 34(9):1492-9. doi:10.1177/0363546506287489.
  28. Bushnell BD, Byram IR, Weinhold PS, Creighton RA. The use
 

        of suture anchors in repair of the ruptured patellar tendon: a biomechanical study. Am J Sports Med. 2006; 34(9):1492-9. doi:10.1177/0363546506287489.

  1. Kadar A, Sherman H, Drexler M, Katz E, Steinberg EL. Anchor suture fixation of distal pole fractures of patella: twenty seven cases and comparison to partial patellectomy. Int Orthop. 2016; 40(1):149-54. doi:10.1007/s00264-015-2776-9.
  2. Li M, Qi H, Ma T, et al. Outcomes for a custom-made anchor-like plate combined with cerclage in the treatment of inferior pole patellar fracture. BMC Musculoskelet Disord 2022; 23(1):452. doi:10.1186/s12891-022-05413-7.
  3. Du B, Ma T, Bai H, et al. Efficacy comparison of Kirschner-wire tension band combined with patellar cerclage and anchor-loop plate in treatment of inferior patellar pole fracture. Front Bioeng Biotechnol. 2022; 10:1010508. doi:10.3389/fbioe.2022.1010508.
  4. Shea GK, Hoi-Ting So K, Tam KW, Yee DK, Fang C, Leung F. Comparing 3 Different Techniques of Patella Fracture Fixation and Their Complications. Geriatr Orthop Surg Rehabil. 2019; 10:2151459319827143. doi:10.1177/2151459319827143.
  5. LeBrun CT, Langford JR, Sagi HC. Functional outcomes after operatively treated patella fractures. J Orthop Trauma. 2012; 26(7):422-6. doi:10.1097/BOT.0b013e318228c1a1.
 

 

 

 

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