Purpose: Surgical fixation is the standard of care for the management of displaced patella fractures. However, limited fixation options are available for patients with inferior pole patella fractures. This video demonstrates repair of an inferior pole patella fracture via nonabsorbable suture fixation.

Methods: Suture repair of patellar fractures is a clinically acceptable technique, yielding functional results similar to patellar fractures managed with the use of Kirschner wires or cannulated screws and decreasing the rate of hardware removal after fixation.

Results: This video discusses the repair of a displaced, comminuted inferior pole patella fracture with the use of No. 5 Ethibond suture and FiberWire. Postoperative radiographs were used to confirm bony union.

Conclusions: Suture fixation for pole patella fractures affords reliable fixation and decreases the risk of postoperative complications secondary to hardware irritation. This case presentation highlights the success of suture repair of pole patella fractures.