Relevance. There is no single approach in the literature to treat patients with multifragmental patella fractures. After surgical treatment of patients with patella fractures, various complications are observed (needle migration, suppuration, knee joint contractures and patellofemoral arthrosis). Purpose of the study. Improve the results of surgical treatment of patients with patella fractures. Material and methods. We analyzed the long-term results of surgical treatment of 78 patients with fractures of a patella of a different nature in the period from 2017-2018. To evaluate the results, we used the KOOS scale (The Knee Injury and Osteoarthritis Outcome Score) and performed a clinical examination and X-ray examination of patients, we also took into account patients' opinions about the result of treatment. The average follow-up for patients was one year and 10 months. Results and conclusions. The best treatment results were observed in patients with transverse fractures after osteosynthesis with two knitting needles and a tightening wire loop. Patellectomy followed by fixation with a blocking wire loop should be avoided for all types of patella fractures, including fractures of the lower pole and multi-fragmented patella fractures. © 2020, Advanced Scientific Research. All rights reserved.