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Given the higher complication and reoperation rates associated with revision ORIF of the patella, these procedures can be difficult. This case report presents a 51\u2010year\u2010old female who experienced early hardware failure and malunion of a patellar fracture after primary ORIF with tension band wiring (TBW). A revision ORIF was performed using a novel plate and suture construct that allows for the simultaneous management of the osseous and soft tissue components of the extensor mechanism.<\/jats:p>","DOI":"10.1155\/cro\/6150955","type":"journal-article","created":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T09:35:49Z","timestamp":1783762549000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Treatment of Failed Patella ORIF With Novel Patella Tension Band Plate and Suture Construct: A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"given":"Hrayr","family":"Basmajian","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3559-8968","authenticated-orcid":false,"given":"Cailan L.","family":"Feingold","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric 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