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Hardware failure and malunion are feared complications of open reduction and internal fixation (ORIF) of patella fractures and require revision ORIF. 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-year-old 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.
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Basmajian et al. (2026) studied this question.
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