Strategies for Reconstruction of the Medial Patellofemoral Ligament

Authors

Timothy Lording, The University of Western Ontario
Laurie Heimstra, Banff Sport Medicine
Christian Fink, Sportsclinic Austria
Alan Getgood, The University of Western Ontario

Document Type

Article

Publication Date

1-1-2015

Journal

Operative Techniques in Sports Medicine

Volume

23

Issue

2

First Page

87

Last Page

94

URL with Digital Object Identifier

10.1053/j.otsm.2015.02.006

Abstract

© 2015 Elsevier Inc. The medial patellofemoral ligament (MPFL) has been identified as the main soft tissue restraint to lateral displacement of the patella. It is almost always injured with a patella dislocation, and as such, repair or reconstruction of the MPFL has become a common surgical procedure when treating recurrent patellofemoral instability. This article describes 3 techniques of MPFL reconstruction, with variations based on the method of fixation of the graft to the patella. Meticulous surgical techniques to try to avoid complications and an understanding of when to address some of the predisposing biomechanical factors causing patellofemoral instability should lead to good postoperative function and patient satisfaction.