Biomechanical Analysis of Current Medial Patellofemoral Ligament Reconstruction Techniques using Human Gracilis Allograft

Medial Patellofemoral Ligament Reconstruction Using a Femoral Loop Button Fixation Technique

“…Technical variationsdfor example, in the number of graft bundles, graft sources, and fixation methodsdexist, and much has been published on this topic in recent years. [1][2][3][4][5][6][7] However, because it is known that a nonanatomic reconstruction of the MPFL can lead to nonphysiological patellofemoral loads and kinematics, the goal of surgical intervention must be an anatomic reconstruction predicated on correct identification of the anatomic insertion sites of the MPFL on the patella and femur, secure fixation of the graft to the insertion sites, and appropriate graft tensioning. 8 We present a surgical technique for MPFL reconstruction using a looped gracilis tendon with suture anchor patellar fixation and suspensory loop cortical button femoral fixation.…”