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Its more about what the patella tendon does. Most of the tendons in your knee are there to provide stability and prevent it from moving laterally, while your patella holds your knee cap in place and is a big fat ligament that is not easy to tear, and its larger size makes for longer healing time. Also, you tear that and its not as though you can keep the rest of your leg strong while the tendon slowly repairs like you can with some tears on the interior of the knee.
Longer time frame for healing, less ability to keep the rest of the leg strong while it heals. Its not a fun recovery.
Yeah I had that surgery. Mine wasn't a complete tear but I had what they call a lateral release where they cut the muscle above and below the patella so they can move the patella. Mine was dislocated and in fact the natural angle of my patellas is "bad" so they moved it. I lost 35-40% of the muscle mass there in like 2 weeks and never got all the way back. My surgeon had it himself (he did his skiing) and never got all the way back. I do recall him saying if I was 20 and not 30 my recovery would have been much easier and this was 95 so 17 years ago.
The patellar tendon used to be the go to for ACL reconstructions they took a piece of the tendon because the body would regenerate it but they discovered that lots of people were breaking their kneecap(what happened to Jerry Rice) so I'm not sure if they still do it that way.