The Medial Patellofemoral Ligament Reconstruction Technique

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Because of a vast increase in published articles concerning medial patellofemoral ligament during the past decade, we present a proposal for a surgical technique to reconstruct this ligament using the patellar tendon.

The technique consists of dissection to reach the peritendon of the patellar ligament, as done when taking a graft from the medial third of the patellar tendon to reconstruct the anterior cruciate ligament. By means of a subperiosteal incision, we release the distal extremity of the tendon from the anterior tuberosity of the tibia and flip this strip medially and superiorly. Initially, we perform a subperiosteal release on the patella, as far as the junction of the proximal third, with the medial third as a graft positioned at the femoral insertion site and fixed using an interference screw within the femoral tunnel. If the graft is too short, there is a possibility of not making the tunnel and fixing it with absorbable or nonabsorbable anchors.

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