Technique of reconstruction of neglected ruptures of patellar tendon. A, Z-shortening of patellar tendon and Z-lengthening of quadriceps tendon. B, Tack sutures are placed in tendons. C, Semitendinosus and gracilis tendons are harvested with tendon stripper and sutured together. D, Tendons are passed through transverse hole in patella and sutured together with Krackow technique. E, Tendons are tacked to underlying patellar tendon. SEE TECHNIQUE 48.26.