case_images: PMC9935908_01
case_images: Case I: X-ray imaging showing asymmetrical bilateral tibial tuberosity avulsions with a type IIB of the right knee and type III B of the left, without intra-articular involvement.
case_images: CRIOR2023-1035705.001.jpg
case_images: PMC9935908_01_CRIOR2023-1035705.001.jpg
case_images: fig1
case_images: Radiographs imaging (Figure 1) showed a type IIB right knee fracture and a type IIIB left knee fracture according to the Watson-Jones classification modified by Ogden et al..
case_images: Post-operative imaging at 4 months demonstrating anatomic reduction and fixation with cannulated full threaded 4.5 mm screws.
case_images: CRIOR2023-1035705.002.jpg
case_images: PMC9935908_01_CRIOR2023-1035705.002.jpg
case_images: fig2
case_images: Within forty-eight hours of diagnosis, the patient underwent bilateral open reduction and internal fixation (ORIF; Figure 2).
case_images: PMC9935908_02
case_images: Case II: X-ray imaging asymmetrical avulsion fractures with a type IIA of the right knee and type II B of the left, again without intra-articular involvement.
case_images: CRIOR2023-1035705.003.jpg
case_images: PMC9935908_02_CRIOR2023-1035705.003.jpg
case_images: fig3
case_images: X-rays (Figure 3) showed a type IIA right knee avulsion fracture and a type IIB left knee avulsion fracture according to the Ogden modified classification.
case_images: Showing case II post-operative result at week 1.
case_images: CRIOR2023-1035705.004.jpg
case_images: PMC9935908_02_CRIOR2023-1035705.004.jpg
case_images: fig4
case_images: For both knees, the fracture sight was debrided allowing for anatomical reduction, and osteosynthesis was achieved using the same hardware: one 4.5 mm partially threaded cannulated screw (Figure 4) placed distally to the physics with washer and precise reconstruction of the surrounding soft tissues.
case_images: Photographic images demonstrating complete patellar tendon distal detachment.
case_images: CRIOR2023-1035705.005.jpg
case_images: PMC9935908_02_CRIOR2023-1035705.005.jpg
case_images: fig5
case_images: Intraoperatively complete detachment of the patellar tendon was documented for both knees (Figure 5) that has been treated by direct suturing.