[The therapeutic orientation in vertical fractures of the patella]

Starting from the rareness of vertical fractures of the patella, in connection with a clinical case, the authors present this entity and the therapeutical problems in correction with this type of fracture. Interfragmentary diastasis is more than 3 mm, so the authors choose for treatment the osteosynthesis with a spongious screw placed horizontally, perpendicular on the fracture, keeping the integrity of the prepatellar fibrous planes. The authors appreciate that orthopedic treatment is reserved to the incomplete fractures or fractures without displacement.