The patella is the biggest sesamoid bone of the human frame located in front of the knee. Patellar fracture account for about one percent of all fractures and are most common within the age group of 20–50 years. Modified tension band wiring is the excellent for displaced transverse fractures. The principle of TBW is that tension forces at fracture site are converted to compression force.
Materials and Method: This is a prospective study. This study was carried out at Sri aurobindo medical college and Pg institute during the period of January 2020 to May 2021. The functional status of the knee was analyse. Open reduction and internal fixation of the fractures were done by modified tension band wiring within 1week of fracture.
Result: The mean age of the patients was 33.70 ± 6.73 years with a range from 23 to 49 years. There were 8 (40%) females and 12 (60%) males i, showing a male predominance. In 8 (40%) patients sustained injury due to fall and in 12 (60%) patients sustained injury due to road traffic accident.
Conclusion: The modified tension band wiring is simple with a short period of learning curve, safe, inexpensive and effective technique in transverse fracture of patella because of good stability of implant, early joint mobilization with minimum complications and with easier post-operative rehabilitation.