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To locate the patella, measure three centimeters to find its position, then move two centimeters medially. Generally, a 25-millimeter blue needle is suitable for most adults, but consider a 45-millimeter yellow needle for greater soft tissue depth. After skin preparation, attach the needle to the driver, which holds it in place, and stabilize the hub while removing the cap. Insert the needle through the skin until reaching bone, ensuring the 5-millimeter black mark is visible to confirm sufficient depth. Advance the needle gently until it is flush with the skin, feeling for a drop or loss of resistance, then push an additional 1 to 2 centimeters.