case_images: PMC10551466_01
case_images: (a) Preoperative AP view of bilateral knees demonstrating bilateral bipartite patella and right knee ACL reconstruction. (b) Preoperative lateral view of the right knee demonstrating patella alta with a Caton-Deschamps ratio of 1.86 in the setting of prior ACL reconstruction.
case_images: CRIOR2023-5591956.001.jpg
case_images: PMC10551466_01_CRIOR2023-5591956.001.jpg
case_images: fig1
case_images: Anterior-posterior (AP) and lateral radiograph showed patella alta with a Caton-Deschamps ratio of 1.86 and a bipartite patella bilaterally (Figure 1).
case_images: Intraoperative fluoroscopic image demonstrating correction of the patella alta.
case_images: CRIOR2023-5591956.002.jpg
case_images: PMC10551466_01_CRIOR2023-5591956.002.jpg
case_images: fig2
case_images: The patella was mobilized distally, and the Caton-Deschamps ratio was checked with intraoperative fluoroscopy (Figure 2).
case_images: Intraoperative image of soft tissue Achilles allograft used to reinforce patellar tendon repair.
case_images: CRIOR2023-5591956.003.jpg
case_images: PMC10551466_01_CRIOR2023-5591956.003.jpg
case_images: fig3
case_images: Biologic and mechanical augmentation with Achilles tendon allograft was used to improve healing and support the PT repair in the setting of central tendon harvest site pathology from the ACLR (Figure 3).
case_images: (a, b) Postoperative AP radiograph at 10 months of the right (operative) knee and contralateral left knee for comparison. (c, d) Postoperative lateral radiograph at 10 months of the right (operative) knee with a C-D ratio of 1.1 compared to the contralateral left knee with a C-D ratio of 1.0.
case_images: CRIOR2023-5591956.004.jpg
case_images: PMC10551466_01_CRIOR2023-5591956.004.jpg
case_images: fig4
case_images: AP and lateral radiographs were obtained of bilateral knees at final follow-up (Figure 4).