[MPFL reconstruction with quadriceps tendon autograft in open physis]

Despite open growth plates, reconstruction of the medial patellofemoral ligament (MPFL) is recommended for the treatment of patellar dislocation in children and adolescents. However, the open physis on the medial distal femur requires a tailored surgical approach with an essential knowledge of the anatomical relationship of the femoral MPFL insertion to the physis. This video illustrates the technique of MPFL reconstruction using an autologous pedicled quadriceps tendon graft with femoral drill channel fixation distal to the epiphyseal growth plate.