In patients with bipartite patella this pull is usually on the bone of the bipartite fragment of the upper, outer patella. Simply cutting the vastus lateralis attachment reduces the constant pull on the bony fragment. Healing of the two bony fragments may occur as a result of the decreased tension.
A QMP is a DA-level bar to reenlistment affecting senior NCOs and not intended to berehabilitative. It means you have been identified through a DA screening program as failing tomeet the Army standards for performance, conduct, attitude, and potential for advancement..
Quality assurance (QA) is a way of preventing mistakes or defects in manufactured products and avoiding problems when delivering solutions or services to customers; which ISO 9000 defines as part of quality management focused on providing confidence that quality requirements will be fulfilled.