Figure 3. (A, C) Lateral radiographs at 3.5 months follow-up, after the new incidence of bilateral ruptures of quadriceps tendons, showing mild ossification, patella baja and pull-out of 1 of the anchors in both knees (arrows), (B, D) intraoperative pictures of both knees showing the transosseous drill holes in the patella; the quadriceps tendons were reapproximated while pulling the sutures, and each limb of the middle tunnel was firmly tied with the ipsilateral pair of the medial and lateral sides. The Achilles tendon allograft that had passed in the middle of the patella prior to drilling was then passed through quadriceps substance and was sutured to itself in 60 degrees of flexion.