Introduction: Patellar fractures account for 1% of all fractures. Fractures of the patella occur from either a direct impact or eccentric contraction of the extensor mechanism. Treatment is dependent on the fracture pattern, displacement, articular surface congruity, and the status of the patient’s extensor mechanism. Several techniques have been described for patellar fracture fixation.
Case Report: We present a case of a 60-year-old female who had a segmental fracture of the patella that included a small distal pole fragment. Initially, the fracture was fixed with lag screw fixation of the two major fragments. Subsequently, the small inferior pole fragment was fixed to the proximal construct with three-bone tunnel suture fixation technique.
Conclusion: This stable construct enabled us to start the patient on an early range of motion exercise program and has resulted in a good functional result at second-year follow-up. To our knowledge, this type of bony construct has not been reported before.

Keywords: Knee, Orthopedics, Patella fractures, Patella, Trauma