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..
If you wish to appeal the QMP, consider the guidance set forthbelow. Grounds for QMP: AR 601-280, Chapter 10, states that the QMP program is based on thepremise that reenlistment is a privilege for those whose performance, conduct, attitude andpotential for advancement meet Army standards.