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Medial Patellofemoral Ligament Reconstruction - Getting it Right

February 19, 2016

Contributors: Abdurrahman Kandil, MD; Nabil Abazaid, BS, MS; Luis Daniel Goity, BA; David R Diduch, MD; Matthew Tyrrell Burrus, MD; Matthew Tyrrell Burrus, MD

Medial patellofemoral ligament (MPFL) reconstruction has become an increasingly common procedure used in the treatment of patellar instability. Many acceptable techniques have been developed with no clear gold standard, but, regardless of the technique, seemingly minor intraoperative errors have been shown to result in postoperative complications and clinical failures. Although locating the femoral location for graft placement is the most important part of the case, there are opportunities for mistakes throughout the procedure. This video demonstrates technical tips and recommendations for a successful MPFL reconstruction, as well as the rationale behind these decisions. In addition to suggestions for femoral fixation, patellar fixation, and graft tensioning, some cadaveric and prospective research is discussed.

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