Background: Open reduction of patella fracture is the currently acceptable method for treating these fractures. In this study describe some minimally invasive techniques have been proposed as possible alternative methods with percutaneous reduction and fixation of patella fractures. The pur­pose of this article was to review percutaneous surgical techniques that preserve the vas­cular supply of patellar fragments, which may improve fracture consolidation, and decrease post operative complications as infection, delayed wound healing, broken wires, irritation, immigration of Kirschner wires, and fixation failure. Conclusion:Percutenous surgical techniques of fixation of patellar fracture offering better functional outcome, short operative time, provide stable fixation, minimal postoperative pain, excellent cosmoses and lower incidence of complications.