Patellar Sleeve Fracture: Open Reduction and Internal Fixation

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Andrew G. Georgiadis
Shea M. Comadoll


Patellar sleeve fractures are a rare injury comprising less than 1% of all pediatric fractures. They are characterized by an outer sleeve of cartilage pulled away from the osseous patella. The most common pattern is an osteochondral fracture at the inferior patellar pole but lateral or medial based injuries are also reported. Multiple fixation methods are described, depending on fracture pattern, osseous fragment size, and surgeon preference. The specific technique of patellar sleeve fixation utilizing transosseous suture placement is described and illustrated with an accompanying video.

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How to Cite
Georgiadis, A., & Comadoll, S. M. (2021). Patellar Sleeve Fracture: Open Reduction and Internal Fixation. Journal of the Pediatric Orthopaedic Society of North America, 3(4).
Master's Surgical Techniques
Author Biographies

Andrew G. Georgiadis, Gillette Children's Specialty Healthcare

Pediatric Orthopaedic Surgeon, Gillette Chidlren's Specialty Healthcare, St. Paul, MN, USA

Clinical Director, James R. Gage Center for Gait and Motion Analysis, St. Paul, MN, USA

Assistant Professor, Department of Orthopedic Surgery, University of Minnesota, Minneapolis, MN, USA

Shea M. Comadoll, Department of Orthopedic Surgery, University of Minnesota

Resident Physician in the department of orthopedic surgery, University of Minnesota.