PMC6451814_01
Plain radiographs of both knees. Right knee (D) showing an Ogden type IB fracture and the left one (I) type IIIA Ogden fracture.
CRIOR2019-8535370.001.jpg
PMC6451814_01_CRIOR2019-8535370.001.jpg
fig1
Anteroposterior and lateral radiographs of both knees evidenced a bilateral tibial tuberosity avulsion fracture (Figure 1).
Intraoperative pictures showing approach and radiological control images.
CRIOR2019-8535370.002.jpg
PMC6451814_01_CRIOR2019-8535370.002.jpg
fig2
After dissection and haematoma drainage, we cleaned the fracture site and reduced the distal fragment fracture under radiological control (Figure 2).
Plain radiographs of both knees at 6 weeks postoperative. Right knee (D) showing one 4.5 mm cannulated screw with a washer and the left one (I) two 4.5 mm cannulated screws with a washer.
CRIOR2019-8535370.003.jpg
PMC6451814_01_CRIOR2019-8535370.003.jpg
fig3
We reinforce fixation of both patellar tendons with one suture anchor (Iconix 2.3 mm, Stryker, Mahwah, NJ, USA) (Figure 3).
Patient at the office. Nonsymptomatic hypertrophic scar is appreciated.
CRIOR2019-8535370.004.jpg
PMC6451814_01_CRIOR2019-8535370.004.jpg
fig4
By now, there has been no need for hardware removal (Figure 4).