6
SURGICAL TECHNIQUE
MPFL RECONSTRUCTION
Graft Positioning
5a
Using the Tendon Fork, catch the doubled end
of the graft and push it fully into the bone
tunnel. Verify that the graft is inserted into the
base of the bone tunnel by reading the
lasermark measurements on the Tendon Fork.!
5b
If desired, mark the doubled end of the graft at
a length equivalent to the depth of the bone
tunnel. This line can then be used to indicate
when the graft is fully inserted into the bone
tunnel during graft positioning. !
Implant Positioning
6a
Position the Implant Sheath in the tunnel so that
it is posterior to the graft, which exits the bone
tunnel anteriorly, and the compressed profile is
adjacent to the graft. Remove the Tendon Fork.
Advance the Sheath into the tunnel. !
6b
If necessary, mallet the metal Strike Plate on
the Gun Knob to assist in advancing the
Sheath into the bone tunnel. Do not twist or
rotate the Deployment Gun while advancing
the Implant into the bone tunnel.
Pearl #4. Ensure the Sheath is 1-2 mm sub-flush in the bone tunnel, thereby maximizing Implant engagement with the
cortex during fixation.