Minimally Invasive Medial Patellofemoral Ligament Reconstruction With Patellar-Sided Tensioning Using All-Suture Anchors

Favian Su; Matthew J Hartwell; Alan L Zhang

doi:10.1016/j.eats.2023.11.003

Minimally Invasive Medial Patellofemoral Ligament Reconstruction With Patellar-Sided Tensioning Using All-Suture Anchors

Arthrosc Tech. 2024 Jan 1;13(3):102875. doi: 10.1016/j.eats.2023.11.003. eCollection 2024 Mar.

Authors

Favian Su¹, Matthew J Hartwell¹, Alan L Zhang¹

Affiliation

¹ Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, California, U.S.A.

Abstract

Medial patellofemoral ligament (MPFL) reconstruction is a commonly performed procedure to reestablish the checkrein to the lateral patellar translation in patients with recurrent patellofemoral instability. Graft tensioning is one of the most critical aspects of the procedure. Most surgical methods for MPFL reconstruction involve tensioning and securing the graft on the femoral side. In this article, we describe a technique for patellar-sided tensioning of the graft using all-suture anchors, which provides the surgeon with the ability to finely control graft tension with two independent graft limbs, while preserving patellar bone stock.