Mini-incision quadricepsplasty. A, Lateral patellar retinaculum is released. B, Adhesions in patellofemoral compartment are released. C, Tendinous tissue of vastus intermedius is separated from rectus femoris and anterior surface of femur. D, Medial patellar retinaculum is released. E and F, Quadriceps is lengthened. G and H, Proximal portion of vastus intermedius tendon and distal portion of rectus femoris tendon are sutured together with knee in 90 degrees of flexion. SEE TECHNIQUE 45.33.