Fig. 4From: Outcomes of surgical treatment of patellar instability in children with Down syndromeAn intraoperative photo of the right knee showing the Roux-Goldthwait procedure. The patellar tendon was split longitudinally into two halves. The lateral half was released at its distal bony attachment, and it was then placed under the medial half and reattached to the soft tissue on the medial side of the proximal tibiaBack to article page