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2% (n=12), respectively. Extension lag ratios at 24months in MTAR were 0-5° in 12.5% (n=4), 6-10° in 6.3% (n=2), 11-15° in 6.3% (n=2) and15° in 6.3% (n=2). The mean MSTS score in DR group was 20.7 compared with 23.2 in the MTAR group (P=0.008). MTAR is associated with a lower incidence as well as a lower degree of extension lag. The flexion range and the incidence of patella alta are not statistically different between the groups. MSTS scores of MTAR group are significantly higher than DR group at 2-year follow up. MTAR is associate