Autogenous iliotibial band enhancement combined with tendon lengthening plasty to treat patella baja: A case report

Figure 4 Intraoperative view of patellar tendon lengthening. A: The Kirschner wire was used to drill a bone tunnel of the patella (thin yellow arrow), and the iliotibial band (ITB) graft was harvested to strengthen the reconstructed patellar tendon (blue arrow); B: Intraoperative view after patellar tendon reconstruction and ITB enhancement. Medial and lateral scar tissue surrounding the patellar tendon were removed (yellow arrow). The ITB graft (white star) was fixed with suture anchors (blue circle). Three MB66 polyester sutures were used as cerclage to decrease tension (white arrow).