Fig. 5
From: Outcomes of surgical treatment of patellar instability in children with Down syndrome
An intraoperative photo of the right knee. (A) Passage of the QT graft deep to the AMT near its insertion. The blue dot represents the anatomic femoral attachment of the native MPFL, which is distal and anterior to the adductor tubercle. (B) Fixation of the QT graft with non-absorbable sutures to the anatomic femoral origin of the native MPFL with the knee in 400-600 flexion and the patella centralized in the trochlear groove