<prompt> A Severely comminuted fracture of the Patella that can not be reduced should be treated by:Inseing screws and wiresPhysiotherapy alonePatellectomyRemoval of smallest piece only  <response>: Patella Tube cast may be used Displaced transverse fracture Tension band wiring by K-wires and stainless steel SS wire Comminuted fracture At least proximal third of patella is intact--Paial patellectomy Severe comminution--total patellectomy 