A well-anastomosed prepatellar vascular network was found to cover the anterior surface of the patella, with main arteries from multiple directions, yielding 18.8 ± 3.1 (standard deviation) intraosseous branches into the patella. Along the intraosseous branches of the prepatellar vascular network, vessel density decreased (P < 0.001) by 0.54 ± 0.29% on the anterior side, 0.40 ± 0.24% on the central side and 0.23 ± 0.19% on the subchondral side. Arteries in the infrapatellar fat pad produced 5.1 ± 1.8 intraosseous branches, mainly located in the distal apex. Almost no arteries penetrated into the patella from the quadriceps tendon, patellar ligament or medial/lateral retinaculum.