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Updated: Jan 4, 2026

Harvesting of Peroneus Longus Tendon Autograft
Published on: September 2, 2025
Medial Patellofemoral Ligament Reconstruction Technique Utilizing Patellar Suture Anchors and a Peroneus Longus
Nathan A Rimmke1, Robert A Magnussen1, David C Flanigan2
1The Ohio State University Sports Medicine Research Institute, Columbus, Ohio.
Abstract:
The medial patellofemoral ligament (MPFL) is generally nonfunctional in cases of recurrent lateral patellar instability. While there are numerous techniques and graft choices, patellar fracture after MPFL reconstruction remains a rare but devastating complication, as tunnels drilled completely through the patella increase the risk of fracture. This article presents a technique of MPFL reconstruction utilizing patellar suture anchors and a peroneus longus tendon allograft that avoids the need to drill tunnels that completely traverse the patella. (Journal of Surgical Orthopaedic Advances 28(3):166-174, 2019).
