Medial patellofemoral ligament reconstruction: a novel approach

Recurrent patellar instability is common, and multiple procedures have been described for its treatment. Medial patellofemoral ligament reconstruction can be successful in patients who have an incompetent medial patellofemoral ligament or who have failed medial patellofemoral ligament repair and present with recurrent patellar instability. This article describes a novel approach to medial patellofemoral ligament reconstruction using a folded hamstring allograft with a new knotless suture anchor and bio-interference screw fixation. The principal advantage of this construct is the ability to definitively fix the medial patellofemoral ligament soft-tissue graft on the femur and provisionally fix the graft to the patella while assessing for reasonable medial patellofemoral ligament isometry throughout the arc of knee motion.