Tehran University of Medical Sciences Journal of Orthopedic and Spine Trauma 2538-2330 11 2 2025 06 15 86 8 Reza Zandi shahid beheshti university of medical sciences Shahin Talebi Assistant professor, Department of orthopedics, Taleghani Hospital Research Development Committee, Shahid Beheshti University of medical sciences, Tehran, Iran. Ahmadreza Ahmadi Abdashti Resident of Orthopedic Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Mohsen Ghafari Shahid Beheshti University of Medical Sciences, Tehran, Iran. 2023 11 04 2025 04 26 Background: Patella fractures account for approximately 1% of all fractures and can be classified as simple or complex. Complex fractures often require surgical intervention due to bone fragment displacement. Rehabilitation focuses on restoring range of motion (ROM), strengthening muscles, and reducing knee stiffness, with recovery potentially taking several months. Treatment options for distal pole patella fractures include fragment resection, which may lead to complications such as patella baja and extensor mechanism weakness. Another method, the basket plate technique, has been associated with discomfort in about 30% of patients, often requiring implant removal surgery.  Case Report: We present a novel technique for stabilizing distal pole patella fractures using multifilament polyester non-absorbable coated braided sutures, offering an alternative to traditional fixation methods. Conclusion: This technique provides stable fixation while avoiding the need for implant removal. Although further research is required to compare its efficacy with conventional approaches, initial results suggest it may be a promising option for managing distal pole patella fractures. https://jost.tums.ac.ir/index.php/jost/article/view/545 https://jost.tums.ac.ir/index.php/jost/article/download/545/415