Why is straightening your leg while sitting by far the most unnatural movement for the knee structure? Even old people that can barely walk can do this movement effortlessly. Not everyone can do a full squat with ease even without any outside resistance. I've had surgeries on both my knees (due to contact sports not exercise) and the first rehabilitaing exercise the PT had me do was leg extentions. In fact, this was really the only exercise I could do for the quads since even partial bodyweight squats caused pain. I think poor feet positioning (say, toes pointed in excessively) will cause more harm to your knee joint since your feet are in a fixed position throughout the movement whereas with the leg extension your toes tend to point in the position that is most comfortable and causes the least strain on the joint.