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Subacute or chronic injuries and revision surgery result in added complexity. The floating patella is a rare injury involving an ipsilateral bifocal disruption of the extensor mechanism. In this article, we present our surgical technique for ipsilateral revision quadriceps tendon repair and patellar tendon reconstruction to address a recurrent tear after revision quadriceps tendon repair with a concomitant subacute patellar tendon tear. The technique involves transosseous patellar and tibial tunnels, Achilles tendon allograft, multiple semitendinosus allografts, and biologic augmentation. Knee\u2010spanning external fixation is applied temporarily for additional stability. Careful attention to restoring patellar height, collagen\/biologic augmentation for healing, and strong biomechanical fixation are important considerations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technique Video<\/jats:title>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"video\" position=\"anchor\">\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" position=\"anchor\" xlink:href=\"urn:x-wiley:22126287:media:atn2bf03817:atn2bf03817-vimg-0001\">\n                          <jats:alt-text>video<\/jats:alt-text>\n                        <\/jats:graphic>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:bold>See video under supplementary data.<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.eats.2025.103842","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T19:50:19Z","timestamp":1756497019000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Combined Ipsilateral Revision Quadriceps Tendon Repair and Patellar Tendon Allograft Reconstruction Technique for Floating Patella"],"prefix":"10.1002","volume":"14","author":[{"given":"Anthony S.","family":"Machi","sequence":"first","affiliation":[{"name":"Mercy Health\u2010Cincinnati SportsMedicine and Orthopaedic Center Cincinnati SportsMedicine Research and Education Foundation Cincinnati Ohio U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fauzan","family":"Akhter","sequence":"additional","affiliation":[{"name":"Mercy Health\u2010Cincinnati SportsMedicine and Orthopaedic Center Cincinnati SportsMedicine Research and Education Foundation Cincinnati Ohio 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