The aim of this study is to investigate the role of tibial tubercle osteotomy (TTO) on the subjective and objective outcomes following medial patellofemoral ligament reconstruction (MPFL-R) in patients with an increased tibial tubercle-trochlear groove (TT-TG) distance with or without patella alta. This Pilot RCT will assess the feasibility of conducting this study for: 1. The ability to recruit study patients 2. Adherence to the study protocol 3. Completion rates of patient follow-up at a minimum of 12 months post-operative
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Study Feasibility - patient recruitment
Timeframe: 12-months post-operative
Study Feasibility - protocol adherence
Timeframe: 12-months post-operative
Study Feasibility - follow-up completion
Timeframe: 12-months post-operative