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Broken Kneecap: Bracing, Wires, Screws and Plates Your #patella (kneecap) is the largest sesamoid bone in the body, sitting at the center of how we straighten the knee. When it breaks, the first question to answer is simple: can you perform a straight leg raise? That single finding drives almost everything that follows. . When the extensor mechanism is intact displacement is minimal, most #patellafractures do well w/o surgery. We immobilize the knee in extension, allow weight bearing as tolerate