Table 2.

Technical Pearls and Pitfalls of Knotless Quadriceps Repair With Suture Tape

Pearls	Pitfalls
Fully debride soft tissue from the superior pole of patella.	Decortication and removal of bone during debridement of the superior pole may weaken anchor pullout strength.
Remove all slack from the Krackow configuration with each pass of the suture tape.	Residual slack in the Krackow suture tapes may lead to postoperative elongation at the repair site.
Fully seat the drill and tap into each hole, as the patella is typically very dense.	Inadequate drilling and tapping may lead to difficulty seating the anchor, or fracture of the patella or anchors.
To minimize the risk of fracture, adequately space the drill holes medial to lateral and place the drill holes along the central axis of the patella between the anterior and posterior cortices.
Avoid articular penetration with the drill (and anchor).
Appropriately tension suture tapes to firmly reduce tendon to bone during anchor insertion.
Use the anchor's core suture to reinforce the retinaculum.