To evaluate radiographic and clinical patient reported clinical outcomes following dorsal hook plating of displaced patella fractures with permittance of immediate post-operative active closed chain range of motion. Retrospective review of prospectively collected data. Urban Academic Level 1 Trauma Center. Adult patients with displaced patella fractures (OTA/AO 34C1-3) who underwent dorsal plating with immediate range of motion between 2018-2023. Numerical Rating Scale for Pain, Knee Outcome Score (KOS-ADL), Tegner-Lysholm Score, radiographic union, and wound complications were collected. 61 patients were included (47 female) with an average age of 63 years (SD 14.7, range 22-86 years). The mean BMI was 24.2 (SD 3.6, range 16.6-33.3). There were thirteen 34-C2 and forty-eight 34-C3 fractures. All but 2 patients (96.7%) achieved bony union after the index procedure. 89% (n=54) of patients completed outcome surveys with at least 6 months follow-up. Six patients (9.8%) underwent removal of plate implant at a mean of 15.1 months post-operatively. The mean KOS-ADL score was 91.4, the mean Tegner-Lysholm score was 78.1, and the mean NRS was 2.7. Dorsal hook plating offers secure fixation to allow early range of motion, reliable fixation with low non-union and implant failure rates, low implant removal rates, and satisfactory patient reported outcomes. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.