{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:46:00Z","timestamp":1791985560903,"version":"4.4.0"},"reference-count":22,"publisher":"SLACK, Inc.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:p>Patellar osteochondral fractures (OCFs) are common concomitant injuries in acute patellar dislocation, particularly in adolescents. Large free fragments (&gt;15 mm in diameter) are relatively rare and require surgical reduction and fixation to restore articular surface congruity and prevent mechanical symptoms and secondary patellofemoral osteoarthritis. This article reports the case of a 16-year-old female athlete who sustained an acute patellar dislocation with a large patellar OCF. The osteochondral fragment was reduced and fixed using a suture anchor combined with transosseous tunnel technique, and concurrent medial patellofemoral ligament reconstruction was performed. The patient had an uneventful recovery, with satisfactory fragment healing at 3-month follow-up and return to pre-injury sports activity at 12-month follow-up. To the authors' knowledge, this is the first reported case of suture anchor fixation combined with transosseous tunnels for a large patellar osteochondral fragment following acute patellar dislocation. This technique provides reliable fixation, is simple to perform, and allows rapid recovery, representing an effective treatment option for this injury pattern.<\/jats:p>","DOI":"10.3928\/01477447-20260923-01","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:56:29Z","timestamp":1791982589000},"source":"Crossref","is-referenced-by-count":0,"title":["Suture Anchor Fixation Combined With Transosseous Tunnels for a Large Patellar Osteochondral Fracture After Acute Patellar Dislocation"],"prefix":"10.3928","volume":"49","author":[{"given":"Jingxin","family":"Li","sequence":"first","affiliation":[{"name":"Clinical Medical College, Jiangxi University of Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Gong","sequence":"additional","affiliation":[{"name":"Nanchang Hongdu Hospital of Traditional Chinese Medicine, Nanchang, Jiangxi, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming","family":"Zhou","sequence":"additional","affiliation":[{"name":"Nanchang Hongdu Hospital of Traditional Chinese Medicine, Nanchang, Jiangxi, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199407000-00018"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120974649"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","unstructured":"Khan SA Baghdadi S Carey JL Moores TS Sheth NP Ganley T. Osteochondral fractures after patellar dislocation: current concepts. 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In-vivo comparison of four absorbable sutures: Vicryl, Dexon Plus, Maxon and PDS. Can J Surg. 1988;31(1):43\u201345. PMID:2827875","journal-title":"Can J Surg"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231189244"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2019.03.52"},{"key":"e_1_3_1_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/os.14351"},{"issue":"7","key":"e_1_3_1_23_2","first-page":"435","article-title":"A novel transosseous suture repair technique for inferior pole patella fractures using a suture anchor: a case series and technical note","volume":"13","author":"Tran DNA","year":"2025","unstructured":"Tran DNA, Huang YW, Kuo YJ, Nguyen TT, Cheng SJ, Chen YP. A novel transosseous suture repair technique for inferior pole patella fractures using a suture anchor: a case series and technical note. Arch Bone Jt Surg. 2025;13(7):435\u2013441. 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