Purpose <p>The purpose of this study was to evaluate the short-term postoperative outcomes of patients undergoing patella open reduction internal fixation procedures based on the type of anesthesia administered.</p> Methods <p>A retrospective review was conducted of patients who were surgically treated for displaced patella fractures from 2012 to 2024 at a single multi-site academic institution. Patients were included if they were &gt; 18&#xa0;years of age, sustained an isolated patella fracture, and had a minimum of 6-month follow-up. Patients were divided into groups based on the anesthetic modality used during their surgery: regional anesthesia only (RA), general/neuraxial anesthesia (NR), and a combination of these methods (CA). Comparisons of statistics were performed using Pearson chi-squared tests, one-way ANOVA tests, and linear regression tests as appropriate.</p> Results <p>There were no complications associated with the administration of anesthesia within each cohort. There was no significant difference in fracture healing rates (<i>p = </i>.210) nor complication rates between the anesthesia groups (<i>p = </i>.088). The RA and CA groups had significantly shorter operating room (wheels in to wheels out) times than the NR group (<i>p &lt; </i>.001), significantly greater 3-month (<i>p = </i>.001) and 6-month knee ROM (<i>p = </i>.016) than the NR group when controlling for age, fracture pattern, and repair method.</p> Conclusion <p>This study demonstrates the efficacy of the use of regional anesthesia only for repair of a patella fracture. This technique is associated with greater early range of knee motion in patients after surgery and a shorter surgical time with no increase in intra or postoperative complications.</p>