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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 reconstruction has become an increasingly common procedure used to manage patellar instability. Many acceptable techniques have been developed; however, no technique is preferred over another. Regardless of the technique used for medial patellofemoral ligament reconstruction, seemingly minor intraoperative errors have been reported to result in postoperative complications and clinical failure. Although locating the femoral location for graft placement is the most important portion of the procedure, opportunities for mistakes exist throughout the procedure. This video demonstrates technical tips and recommendations for successful medial patellofemoral ligament reconstruction and discusses the rationale behind these decisions. In addition to suggestions for femoral fixation, patellar fixation, and graft tensioning, cadaver model and prospective research are discussed.

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