Martin JM, et al. - In this investigation, researchers examined the stability and strength of tension band wire fixation using headless compression screws vs headed screws for transverse patella fractures. Six matched pairs of fresh-frozen cadaveric knees were surgically fixed with transverse osteotomies created at the midpoint of the patella, with one knee randomly receiving headless screw fixation. According to findings, headless screw tension band fixation exhibited superior biomechanical behaviors over standard headed screw fixation with higher construct rigidity, smaller interfragmentary motion, and greater fixation strength.