Gouty destruction of a patellar tendon reconstruction and novel revision reconstruction technique: A case report

Figure 5 Intraoperative images of reconstructive technique. A: Achilles bone block secured with screws with tensioning of graft proximally by transosseous tunnel technique; B: Dermal allograft placed overlying Achilles allograft using transverse slit to pass excess proximal tendon graft. Dermal allograft secured proximal to inferior pole patella with knotless fiber tack anchors; C: Dermal allograft secured distally with four swivel lock anchors with speed bridge technique and fiber tape; D: Extra proximal Achilles allograft reinforced to quadriceps tendon.