Figure 2

(a) A Proximal, Anterior, and Inferior pole fragment were reduced by reduction clamp with passed separate vertical wires engaged with a rim plate. (b) The Proximal and Anterior fragments were fixed by supplementary fixation using anterior cortical plate to be converted to type A from type C. (c) After conversion, rim plate augmented separated vertical wires were tightened. Postoperative radiographs show the rim-plate-augmented separate vertical wiring with supplementary fixation using anterior cortical plate. All identified fragments were anatomically stabilized. (d) The Mosquito was passed under the patellar tendon(white arrow head) before the rim plate passage. A medial and lateral wire(white arrow) went through both end holes of rim-plate. Middle wires were placed over the plate for wrapping.