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At 3months follow up, the patient had good knee range of motion from 0 to 100 degrees and by 6months he had returned to his usual activities. We describe a unique case of tibial tuberosity avulsion fracture in an adult with PDB. Treatment was successful with cannulated screws and tension band wiring. Patients with PDB who fracture present with diagnostic and operative challenges, it is vital to progress with caution in the postoperative rehabilitation phase. We describe a unique case of tibial tuberosity avulsion fract

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