Elsevier

Arthroscopy Techniques

Volume 4, Issue 1, February 2015, Pages e57-e63
Arthroscopy Techniques

Technical Note
Anatomic Reconstruction of the Medial Patellofemoral Ligament Using the Fascia Lata as an Autograft

https://doi.org/10.1016/j.eats.2014.11.005Get rights and content
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open access

Abstract

The medial patellofemoral ligament (MPFL) ensures stability of the patella against lateral forces. In cases of recurrent lateral patellar luxation, surgical reconstruction of the MPFL has an important role in treating lateral patellar instability. Several biomechanical studies have presented valuable pieces of information about various techniques for re-creating this medial patellofemoral complex mainly using the gracilis tendon as an autograft. However, with the increasing number of MPFL reconstructions, there are also an increasing number of patients requiring revision MPFL reconstruction. Therefore alternative graft options may become more relevant. Furthermore, the gracilis tendon as a tubular graft may not be able to fully restore patellofemoral kinematics compared with the native MPFL. This article introduces a surgical technique using the fascia lata as an alternative graft option for the anatomic reconstruction of the MPFL.

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The authors report that they have no conflicts of interest in the authorship and publication of this article.