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. 2025 Jul 10;14(8):103718. doi: 10.1016/j.eats.2025.103718

Table 2.

Advantages and Disadvantages

Advantages Disadvantages
  • 1.

    A size-matched patella allograft allows for a smooth cartilage surface for proper patellar tracking

  • 2.

    A fresh allograft optimizes the chances for graft incorporation

  • 3.

    Sutures placed in the native quadriceps tendon can be fixed distally in anchors adjacent to the tibial tubercle for additional points of fixation

  • 1.

    High cost of a fresh entire extensor mechanism allograft

  • 2.

    Patients must understand the importance of strict non-weightbearing with their knee locked in extension for 12 weeks

  • 3.

    High risk of arthrofibrosis with limited revision surgical options following complete patellectomy