{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:49:32Z","timestamp":1791528572772,"version":"4.3.4"},"reference-count":24,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Patella alta is a major anatomical risk factor for patellar instability. Although a tibial tubercle osteotomy with distalization has been described in this context, a patellar tendon imbrication more directly addresses the pathoanatomy and avoids the risk of physeal and apophyseal injury in skeletally immature patients. This technical note describes a transection\u2010free patellar tendon imbrication technique using a double\u2010row configuration that allows for predictable correction of patella alta, avoidance of risks associated with osteotomy, and the ability to medialize the patellar tendon, optimizing extensor mechanism alignment.<\/jats:p>","DOI":"10.1002\/atn2.70288","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T05:56:28Z","timestamp":1791525388000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patellar Tendon Imbrication With a Double\u2010Row Configuration for the Treatment of Patella Alta in Skeletally Immature Patients"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7820-8045","authenticated-orcid":false,"suffix":"Jr.","given":"Mauricio","family":"Drummond","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Montefiore Einstein  Bronx New York U.S.A."},{"name":"Albert Einstein College of Medicine  Bronx New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1732-5181","authenticated-orcid":false,"given":"Jason D.","family":"Brenner","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine  Bronx New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8121-8729","authenticated-orcid":false,"given":"Christopher J.","family":"Ball","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Montefiore Einstein  Bronx New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9788-3070","authenticated-orcid":false,"given":"Jessica R.","family":"Weinberg","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine  Bronx New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5771-1217","authenticated-orcid":false,"given":"Mohamed","family":"Said","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine  Bronx New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1454-1161","authenticated-orcid":false,"given":"Eric D.","family":"Fornari","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Montefiore Einstein  Bronx New York U.S.A."},{"name":"Albert Einstein College of Medicine  Bronx New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7571-1945","authenticated-orcid":false,"given":"Alexa J.","family":"Karkenny","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Montefiore Einstein  Bronx New York U.S.A."},{"name":"Albert Einstein College of Medicine  Bronx New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1007\/s00167-007-0418-5","article-title":"Recurrent patellar dislocation after medial patellofemoral ligament reconstruction","volume":"16","author":"Thaunat M","year":"2008","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"e_1_2_5_3_1","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/BF01552649","article-title":"Factors of patellar instability: An anatomic radiographic study","volume":"2","author":"Dejour H","year":"1994","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"e_1_2_5_4_1","doi-asserted-by":"crossref","first-page":"232596712513566","DOI":"10.1177\/23259671251356632","article-title":"Your patella dislocated: Will it happen again? Key magnetic resonance imaging differences between patients with multiple patellar dislocations and patients with a one\u2010time patellar dislocation","volume":"13","author":"Brenner JD","year":"2025","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_5_5_1","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.csm.2021.07.002","article-title":"Patella alta: When to correct and impact on other anatomic risk factors for patellofemoral instability","volume":"41","author":"Biedert RM","year":"2022","journal-title":"Clin Sports Med"},{"key":"e_1_2_5_6_1","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1007\/s001670000121","article-title":"Reliability and interobserver variability in radiological patellar height ratios","volume":"8","author":"Seil R","year":"2000","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"e_1_2_5_7_1","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1097\/JSA.0b013e31803035ae","article-title":"Osteotomies in 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