Editorial Commentary: As Nature Intended: Will Inclusion of the Medial Patellotibial Ligament Create a Better Medial...

The medial patellofemoral complex, composed predominantly of the medial patellofemoral ligament, plays an important role in patellar tracking and stability. Medial patellofemoral ligament reconstruction is accordingly one of the most broadly applied surgical techniques for treating patellar instability. Orthopaedic research has demonstrated that surgeries that restore native anatomy are often more effective. The medial patellotibial ligament clearly serves an important supporting role in patellar tracking and stability, particularly in early flexion, and its inclusion in medial soft-tissue reconstructions more closely restores native patella tracking. Whether reconstructions incorporating the medial patellotibial ligament will translate to improved outcomes remains unclear.