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Medial Patellofemoral Ligament Reconstruction for Patellar Instability

February 01, 2013

Contributors: Eric J. Wall, MD; Shital N. Parikh, MD; Shital N. Parikh, MD

Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.
Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.
Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.

The medial patellofemoral ligament (MPFL) has been recognized as the primary restraint to lateral patellar translation. In the last decade, the popularity of MPFL reconstruction to treat patellar instability has increased. Drs. Parikh and Wall describe their modified technique that uses a hamstring graft for MPFL reconstruction. The key technical modifications include a single small-diameter medial-sided patellar tunnel to avoid potential patellar fracture and a fluoroscopic confirmation of the femoral attachment point to avoid patellofemoral arthrosis. Important technical points described in the video include graft tension, graft isometry, and graft fixation.

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