Fracture Reduction and Fixation by Knots

Fixations of fragments are the main aim of orthopedic trauma surgery. Although wires, screws, and plates are the popular fixation materials, sutures also have an important role [1, 2]. Most surgeons thought that hardware have more strength at the fixation side than sutures. We can easily say that it is true for large and messy fragments. But if the fragments are comminuted, osteoporotic, and fragile, hard fixation materials may give harm to the fracture sites and makes the procedure more complicated [3, 4]. Specially, fixations with sutures are useful for the treatment of fractures with tendon or ligament avulsion. At this time use of sutures could be an option for the fixation, which can give less harm to the small and fragile fracture ends. By using sutures as fixation material, the surgeons can use bone-tendon junction as a buttress side. Suture fixations can be used in various types of fractures. In this chapter, we describe major fields that suture fixation is the most favored type of fixation.