Thanks for asking, and not a stupid question. My surgeon did continue with the implant, but needed to remove the non viable bone pieces, reattach the avulsed patellar tendon to the remaining kneecap, then run the sutures through holes in the patella to the quadriceps tendon and back. He then basically cinched it all together and closed it. The patella he was able to save was still attached to the quadriceps tendon but was in a few pieces as well. He said it was like when a big rock hits your windshield and shatters. He said it shocked him when it happened. I don't know how many pieces it broke into but it was at least 6. Obviously I didn't get the whole replacement since the part that is usually placed under the patella couldn't be attached. Your husband is making amazing progress! I wish mine was as good. No patella replacement for me. No further surgical procedures are recommended. I'm seeking a second opinion.