Abstract
Patellar fractures not amenable to reconstruction are managed by either partial or complete patellectomy. The reconstitution of the extensor mechanism in the former entails secure fixation of the patellar tendon to the bony remnant. Usually this is done by fixation of the tendon to the patellar remnant by passing sutures from the tendon through the bone and tying these at the proximal pole. The passage of these sutures is many a times vexing and takes up a lot of the operating time as the drill holes usually entrap the needles or the suture comes out at a less than optimal position, or the holes need to be enlarged considerably to enable easy passage, which creates large holes acting as stress risers in the patella. We present an easy technique wherein the suture passage through the bone is done through an intravenous cannula tubing. The procedure is rapid and easy, with accurate placement of the sutures and minimal damage to the bony remnant. The only additional equipment used is an angiocath and no specialized needles or drill bits have to be used.
Published Version
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