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The patellar tendon runs from the bottom of the femur (thighbone), across the kneecap and attaches to the top of the tibia (shinbone). It secures the kneecap in place and gives range of motion to the lower half of the leg. A rupture of the patellar tendon severs the tendon, generally just below the knee, causing the kneecap to retract up towards the thigh and making movement of the lower leg impossible - it can't be either bent or lifted. Surgery is required to rebuild the tendon, sometimes using metal wires. And no, I'm not a doctor, I've had this injury 5 times myself (don't ask!) so I really do sympathise with the guy.
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