Arthroscopy Techniques (Apr 2025)

Anatomic Medial Patellofemoral Ligament Reconstruction Using “Double-Socket” Technique

  • Ashok Selvaraj, M.B.B.S., M.S.Ortho., F.A.S.M.,
  • Billy Paul Wilson, M.B.B.S., M.S.Ortho., F.R.C.S.,
  • Senthilvelan Rajagopalan, M.B.B.S., M.R.C.S., F.R.C.S., D.Ortho.,
  • Robin G. Alex, M.B.B.S., D.Ortho., D.N.B.Ortho.

DOI
https://doi.org/10.1016/j.eats.2024.103318
Journal volume & issue
Vol. 14, no. 4
p. 103318

Abstract

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In young individuals, recurrent patellar dislocation is a common issue. Surgical treatment often involves reconstructing the medial patellofemoral ligament. Various techniques exist, but most involve large transpatellar tunnels or suture anchors. Our medial patellofemoral ligament reconstruction technique uses 2 small sockets on the medial border of the patella. There are no implants in the patella, which reduces the risk of patellar fracture. The graft, which is already secured in these sockets, obtains additional attachment to the roughened medial patellar border, thereby promoting robust healing and stability. This approach is both effective and cost-efficient.