Table 2.

Advantages and Disadvantages

Advantages	Disadvantages
The objective is to restore joint stability without overloading the cartilage.	Combined procedures may require more protracted rehabilitation.
Joint congruence and stability can be directly assessed intraoperatively.
If the tibial tuberosity osteotomy surface is kept flat, then a fracture is unlikely.
If the patellar tunnel is made longitudinally (coronal plane) rather than transversely (sagittal plane), then a patellar fracture is unlikely.