Table 2.

Advantages, Risks, and Limitations of the Presented Technique

Advantages	Risks and Limitations
Anchoring the tendon graft through the retinaculum on either side of the patella avoids a transosseous tunnel, protecting the patella from a potential fracture and the articular cartilage from damage	Unpredictability of graft length and width
The U-shaped graft avoids concentration of the tension load over the patella and the repaired patellar tendon	In extensive knee extensor mechanism injury, retinaculum damage may preclude this surgical technique
Autologous graft allows biological healing; no synthetic or metallic hardware is needed	Risk of tibial tubercle fracture during tunnel drilling
The U-shaped graft fixation avoids overtightening or undertightening and consequent patella alta or baja