Background: Patella fractures account for approximately 1% of all skeletal injuries. The treatment of patellar fractures has undergone many changes in operative methods. With introduction of the cannulated screw for fracture treatment, an option exists for combining screw fixation with TBW of patellar fractures. Purpose: To assess the fuctional outcome of patellar fractures treated with cannulated screw tension band wiring. Materials & Methods: 25 patients with displaced transverse patella fracture studied prospectively are included in this study which was conducted in Department of Orthopedics at Chigateri General Hospital and Bapuji Hospital, attached to JJM Medical College, Davangere, during the period from June 2014 to May 2016. All patients underwent open reduction and internal fixation with 4mm cannulated screw with tension band wiring through it. The IOWA knee score was used to assess the functional outcome of fixation. Results: According to IOWA knee score, 22 patients had excellent results and 3 patients had good results. No patient had loss of fracture reduction, implant migration, knee stiffness, implant failure or soft tissue irritation. Conclusion: Cannulated screw tension band wiring can be considered as alternative method to treat transverse patella fractures with excellent to good results and few complications
