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1319 done. The answer is, through a median arthrotomy, splitting the patella longitudinally, the knee being flexed to expose the structures at the back of the joint. There is no need to wire the patella after this operation; the split rectus femoris and ligamentum patellae are sutured. And what is the time to operate ? As soon as the post-traumatic bleeding has ceased and before any post-traumatic inflammation has begun-that is to say, if circumstances allow, operate a few hours after thedoi:10.1016/s0140-6736(00)54404-3 fatcat:neqfpx7fbja6hmhr4n2vpe6r5m