Polyester non absorbable suture (Ethibond no.5) is an alternative method of fixation of transverse patellar fractures. A braided polyester suture was found to have minimal tissue reactivity when used clinically. Braided polyester sutures are mechanically superior to other non-absorbable and resorbable sutures in vitro, with a high stiffness and high ultimate tensile strength. The suture material is easier to handle, the use of the needle allowed more accurate placement through the soft tissues in comparison to the need for guides when using steel wire. Studies showed that there was no fixation failure (defined as a fracture gap of greater than 3 mm), nor any significant difference between mean maximum fracture gaps for suture versus wire when the cadaveric knee specimens were tested by simulated extensions of the knee against gravity. This study recommend use of polyester non absorbable suture for fixation of transverse patellar fractures with the advantage of achieving a rigid fixation with immediate weight bearing and early range of motion, in addition to avoidance of hardware complications with the use of K-wires and circlage.