Introduction

A patella (Broken Kneecap) fracture is a break in the small, round bone at the front of the knee. The patella (kneecap) protects the knee joint and plays a key role in leg extension. Fractures can range from small cracks to complete breaks that separate the bone into multiple pieces.  Most patella fractures result from direct trauma, such as a fall onto the knee or a high-impact blow (e.g., car accident). Less commonly, they can occur from a sudden, forceful contraction of the quadriceps muscle. Symptoms include severe front-of-knee pain, swelling, bruising, and an inability to straighten the leg or walk. In displaced fractures, a visible gap or deformity may be present over the kneecap.

Non-surgical treatment

Non-surgical treatment is possible if the bone fragments are well-aligned. This typically involves a brace or cast to keep the leg straight and allow healing. Physical therapy follows to restore motion and strength.

Surgical Treatment

Surgical treatment is necessary for displaced or open fractures, and typically involves using screws, wires, or a plate to stabilize the bone. The goal is to restore the extensor mechanism and allow early movement. As always, surgery is reserved for fractures that cannot heal properly without it.