# Utilizing Suture Anchors in Addition to Screws for Treatment of Tibial Tubercle Avulsion Fracture: A Case Report

## TL;DR

This case report describes a new surgical technique using suture anchors with screws to treat tibial tubercle avulsion fractures, aiming to reduce device irritation.

## Contribution

The paper introduces the use of suture anchors in combination with screws for tibial tubercle avulsion fractures to minimize complications.

## Key findings

- Using a suture anchor allowed placement of a smaller screw and complete coverage of the screw head with the patellar tendon.
- The technique successfully reduced the risk of device irritation in the reported case.
- The outcome suggests potential for broader application of suture anchors in similar fractures.

## Abstract

Tibial tubercle avulsion fractures are relatively uncommon fractures commonly seen in adolescent males. The treatment goal is to restore the extensor mechanism and to repair the articular surface. Although previous surgical techniques have been mainly screws or tension band wiring, there is a certain consensus on this. However, the choice of these surgical techniques largely depends on the surgeon. In our case, we utilized a suture anchor distal to the cannulated screw. This enabled us to use a smaller screw and cover the screw head completely with the patellar tendon. Therefore, this can be an advantage in lowering the incidence of device irritation. Given the successful outcome of our technique, we may consider applying suture anchors more frequently in tibial tubercle avulsion fractures in the future.