Patebond technique of open patella fracture

Abstract

We report a case of 29 yr old male patient with right sided transverse patella fracture in a grade Iamb open wound as per Gustillo Anderson classification due to road traffic accident. As it was an open wound we wanted an early intervention for better recovery of patients ROM around knee without any morbidity. We utilized a novel technique in which we reinforced the patellar tendons by tying it with Krakow technique and the distal pole of transverse fracture patella was tied with superior pole in a crises cross fashion by passing no 5 ethibond sutures through transosseous route in the patella. A good articular congruity with maintained reduction, a sound union without any implantation, improved ROM with rehabilitation and most importantly without any evidence of infection were the positive outcomes.