Recently the fracture of patella has increasing tendency due to frequent traffic and industrial accidents. In this series, we treated fractures of patella by open reduction and internal fixation with modified transverse tension band wiring method. Early post operative continuous passive motion and early weight bearing exercise were followed. This method was excellent for treatment of the patella fractures. The surgical results were evaluted by Leveck scoring systems, 12 out of 14 cases had satisfactory results. This technique have some advantage in terms of decreasing pain and maintenance of circulation on the patella, because of the small incision and minimize dissection. It can prevent post operative complications such as limitation of motion and post traumatic arthritis of the knee joint.