Table 4 Advantages and disadvantages of suture Bridge technique and Hollow screw fixation

Advantages

- Effective for comminuted fractures

- Avoids growth plate injury in pediatric patients

- Provides secure fixation and lower risk of bone fragment displacement

- Suitable as a salvage procedure when screw fixation fails

- Traditional and well-established method

- Suitable for large, single bone fragments

- Simple technique with minimal learning curve

Disadvantages

- Requires exposure of the deep surface of the popliteus muscle, potentially increasing the risk of vascular injury

- Risk of malunion due to small bone fragment displacement during suture tightening

- More complex technique with a steeper learning curve

- Higher risk of fixation failure in comminuted fractures

- Not suitable for pediatric patients due to potential growth plate injury

- Risk of screw loosening or retraction, requiring potential secondary surgery for hardware removal