Osteochondral fracture fixation could be challenging due to the low healing capacity of cartilage especially when the case is delayed. There are various fixation options available. The personality of the fractured fragment would determine which fixation method is more suitable. This is a case of a 14-year-old girl with right knee patellar osteo- chondral fracture fixed with suture passed through drilled holes after four weeks of injury. The outcome at eighteen months follow up shows a painless knee with a full range of motion and patient is asymptomatic. Knee radiograph shows union of the fragment and MRI did not show evidence of necrosis.