FIGURE 4. (A and B) From the superomedial part of the quadriceps tendons, run the wire across diagonally to the inferolateral portion of the patellar ligament, then insert the needle and wire into the anterior surface of the ligament through to the posterior surface. (C) From there, run the wire behind the ligament then exit at the medial part by inserting the needle and wire into the posterior surface through to the anterior surface of the ligament. (D and E) Run the wire diagonally to the starting point, tie the wires together, and bury it in the cortex of the patella.FIGURE 5. (A) The knee is assessed for full range of motion after the steel wire is buried. (B) A postoperative radiograph showing a well reduced comminuted patellar fracture. (C) Preoperative radiographs of patient 1 showing comminuted fracture of left patella with a component of transverse fracture. (D) Postoperative radiograph of patient 1 showing a well reduced fracture and evidence of a stainless steel wire holding the fragments in place.