An athlete suffers a fracture as shown in the knee X- ray below. How is this fracture managed?

*Treatment of choice for displaced two pa fracture of patella is tenson band wiring. *Cylinder cast in full extension is given for undisplaced patella fractures. PATELLA - FUNCTIONS * guide for the quadriceps or patellar tendon * . friction of the quadriceps mechanism * Acts as a bony shield for the cailage of the femoral condyles * Improves the aesthetic appearance of the knee. SIGNS AND SYMPTOMS of a Possible Fracture * Localized pain aggravated by movement * Muscle guarding with passive movement * Decreased function of the pa * Swelling, deformity, abnormal movement * Sharp, localized tenderness at the site TREATMENT: NON-SURGICAL Protection phase Modalities Rest a gentle motion, a muscle-setting exercises in pain-free positions. Casts or splints a Crutches TREATMENT: SURGICAL * Timing of surgery : If the skin around your fracture has not been broken- * may recommend waiting until any abrasions have healed before having surgery. Open fractures, however, expose the fracture site to the environment 3 urgently need to be cleansed and require immediate surger Ref: Apley's system of ohopedics and fractures 9th/e p. 887-888