9
SURGICAL TECHNIQUE
MPFL RECONSTRUCTION
Patellar Fixation
10a
Thread the free ends of the graft between
layers two and three and out through the
patellar incision. With the knee in 20 degrees
of flexion, knot the suture threads over the
free-ends of the graft several times, cinching
them into place.
10b
For secure fixation, fold and suture the free-
ends of the graft back upon themselves.
Pearl #6. In this position, the graft should experience neither tension nor laxity. With increasing flexion, the graft should
become lax. In extension, the graft should tension only slightly. Ensure that the patella is not over-tensioned or tilted
medially throughout the full range of motion.
Closure
Tie off and trim any remaining sutures. Close the incisions per surgeon preference.