Lately the incidences of the patella fracture have been increasing due to frequent traffic and industrial accident, popularity of sports activity and falling. Sixty-nine cases of patella fractures, which were treated at Department of Orthopedic Surgery, Hallym College in the years of 1980 to 1985, were reviewed and the authors obtained the following results : 1. Frequently involved were third to fifth decades. 2. Traffic accident was the most common cause of the fracture. 3. Out of 69 cases, 42 were treated by open reduction and internal fixation. Among them we used circumferential wiring for 22 cases, modified tension band wiring for 13 cases and tension band wiring for 7 cases respectively. The remaining 5 cases were treated by patellectomy. 4. The most favorable recovery from the fracture was obtsined from modified-tension-band-wiring group.