The patella is made up of dense spongy bone covered by a thin lamina. It is divided into anterior and posterior surfaces. The anterior surface has upper, middle, and lower parts. The upper part serves as an attachment for the quadriceps tendon, the middle is made up of vascular canaliculi, and the lower serves as an origin for the patellar ligament. The posterior surface of the patella articulates with the femur at its upper part, and it contains vascular canaliculi filled with adipose tissue at its lower part.The patella functions to protect the anterior border of the knee as well as to increase the lever arm of the quadriceps mechanism. Three important consequences of patellar function and position are: (1) the quadriceps is stronger with a correctly functioning and positioned patella; (2) there is a large compressive force at the patellofemoral joint, and (3) the patella is susceptible to high-tension forces.Fractures of the patella can be from direct or indirect forces. The subcutaneous position of the patella makes it susceptible to injury from a direct blow, which is more likely to result in comminution than an indirect pull. The indication for internal fixation is a fracture with greater than 2 mm of articular displacement, 3 mm of fragment separation, or a comminuted fracture. A fracture is considered comminuted when there are fragments of 4 mm in diameter or more that are separated by at least 3 mm, or overriding by at least 2 mm. A heavily comminuted fracture or inability to obtain a precise reduction may require patellectomy. Quadriceps strength is reduced by as much as 49% if the fracture is treated by patellectomy. Thus, the patella provides an important role in extension of the knee, and patellar salvage is the rule.Currently, circumferential cerclage stainless steel wiring is the most popular method for repairing comminuted patellar fractures, but we encountered many complications with this technique. Consequently, we developed a new technique of fixing patellar fractures using a braided absorbable suture instead of a traditional stainless steel wire.