Simultaneous ipsilateral tibial tuberosity and patellar fractures in an adult patient

We present the case of a 56-year-old man who sustained a tibial tuberosity fracture with an associated patellar fracture. In the adult population there are only a few documented cases of tibial tuberosity fractures. This is only the second recorded case of bifocal patella tendon avulsion. The patient was managed successfully by fixation of the tibial tuberosity alone as the patella fracture was undisplaced and the patella retinaculum intact. A key point was screening the patella fracture at time of fixation to aid this decision. We achieved a good outcome at one year with internal fixation and early mobilisation.