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The goal of this study would be to report the complication rates right pertaining to the medical technique of a V-shaped TTO, where in actuality the tubercle is wholly released from its periosteum using a step-cut osteotomy. TECHNIQUES The retrospective case sets made up a big cohort of 263 legs with patella alta in 203 clients just who underwent a V-shaped TTO, with or without extra realignment processes, between March 2004 and October 2017. Information were acquired from offered client data. Co