Tibial tuberosity avulsion-fracture associated with complete distal rupture of the patellar tendon: A case report and review of literature

Figure 3 Surgical procedure performed.  A: The incision made; B: Identification of the proximally retracted patellar tendon; C: Image showing its integrity; D: The only large avulsed bone fragment; E: Reduction and temporal fixation of the bone fragment with K-wire; F: Definitive osteosynthesis with the use of a cannulated screw with a partial thread of 6.5 mm in diameter and the use of a washer; G: The placement of two steel anchors on each side of the newly fixed tibial tuberosity; H: Final appearance of the reinserted tendon; I and J: Immediate postoperative radiographs in two projections; K: Final appearance of the knee at 24 h postoperatively.