Technique for repair of fresh rupture of quadriceps femoris muscle. A, Two parallel interlocking sutures are placed in quadriceps tendon. Small trough is made in anterior aspect of superior pole of patella. Horizontal mattress sutures are placed in vastus intermedius stump. B, Sutures in vastus intermedius are pulled anteriorly through rectus and are tied while tendon is held in anatomic position, using sutures placed distally through drill holes; sutures are then tied distally. SEE TECHNIQUE 48.27.