. 2020 Jun 27;9(7):e1033–e1038. doi: 10.1016/j.eats.2020.03.021

Table 1.

Technique Pearls and Pitfalls

Pearls	Pitfalls
• Degenerative tendon and fibrotic scar should be excised until healthy tissue is encountered • Suture anchor repair may effectively decrease the working length of the repair, allowing for less gapping at the repair site • The medial and lateral arms of the V-incision should double the length of the defect gap for appropriate excursion • Achilles allograft augment should be placed after repair, with coverage spanning the tendon repair and borders of the adjacent retinaculum	• Tears retracted >6 cm may be difficult to address with a tendon lengthening technique • Because of dense proximal bone at the superior pole of the patella, a drill along with tap can prevent anchor malfunction during placement • Krackow sutures for repair following quadricepsplasty should bypass the proximal extent of the manipulated tendon to decrease load on the tendinoplasty • Suture anchors and allograft use can increase procedure costs

Pearls

Pitfalls

•
Degenerative tendon and fibrotic scar should be excised until healthy tissue is encountered
•
Suture anchor repair may effectively decrease the working length of the repair, allowing for less gapping at the repair site
•
The medial and lateral arms of the V-incision should double the length of the defect gap for appropriate excursion
•
Achilles allograft augment should be placed after repair, with coverage spanning the tendon repair and borders of the adjacent retinaculum

•
Tears retracted >6 cm may be difficult to address with a tendon lengthening technique
•
Because of dense proximal bone at the superior pole of the patella, a drill along with tap can prevent anchor malfunction during placement
•
Krackow sutures for repair following quadricepsplasty should bypass the proximal extent of the manipulated tendon to decrease load on the tendinoplasty
•
Suture anchors and allograft use can increase procedure costs