Arthroscopic Osteochondral Fragment Fixation of the Medial Femoral Condyle Using Knotless Suture Anchors
Molly N. Jones, Jeffton Pierre, Patrick Ryan, Clayton W. Nuelle, Steven F. DeFroda · 2026
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Description
Molly N. Jones and colleagues describe pinning a loose osteochondral fragment back onto the inner femoral condyle with sutures instead of screws, in a 2026 technical note. The example patient is a 14-year-old girl with three years of medial knee pain that conservative care had failed to settle. MRI showed a fragment measuring 1.2 by 1.2 centimeters with fluid beneath it, the signature of instability. Fixing it promised to preserve her own cartilage rather than discard the piece.
A double-loaded PushLock anchor at the defect's inner apex sends suture strands across the fragment in a bridge pattern to a second anchor in the notch. A crisscrossed superficial row to a third anchor below completes the net, squeezing the fragment onto its bed without any metal crossing the cartilage. The authors argue the suture bridge avoids the fragment-splitting and removal operations that screws can cause.
Catalog record
| CREATOR | Molly N. Jones, Jeffton Pierre, Patrick Ryan, Clayton W. Nuelle, Steven F. DeFroda |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 20962 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |