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Medial Patellofemoral Complex Reconstruction Using the Rectus Femoris Tendon.

Anshu Shekhar1, Sachin Tapasvi2, Camilo Helito3,4

  • 1Department of Orthopaedics, Sri Rawatpura Sarkar Institute of Medical Sciences and Research, Raipur, India.

Arthroscopy Techniques
|January 16, 2026
PubMed
Summary
This summary is machine-generated.

This study presents a novel technique for medial patellofemoral complex reconstruction using the rectus tendon to treat recurrent patellar instability. The method effectively stabilizes the patella by reconstructing both the medial patellofemoral ligament and medial quadriceps tendon femoral ligament.

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Area of Science:

  • Orthopedic Surgery
  • Biomechanical Engineering

Background:

  • Recurrent lateral patellar instability is often treated with medial patellofemoral ligament (MPFL) reconstruction.
  • The medial patellofemoral complex (MPFC), comprising the MPFL and medial quadriceps tendon femoral ligament, provides crucial medial stability to the patella.

Purpose of the Study:

  • To describe a novel surgical technique for MPFC reconstruction using the ipsilateral rectus tendon.
  • To address recurrent lateral patellar instability by restoring medial patellar stabilizers.

Main Methods:

  • Harvesting the ipsilateral rectus tendon preserving its distal attachment.
  • Preparing and passing the tendon graft through the sub-vastus space to the medial femoral epicondyle.
  • Fixing the graft using an interference screw for the medial quadriceps tendon femoral ligament component and a suture anchor for the MPFL component.

Main Results:

  • The described technique allows for the reconstruction of both the medial quadriceps tendon femoral ligament and the MPFL using a single tendon graft.
  • Anatomic MPFC reconstruction was achieved with fixation at specific knee flexion and patellar glide parameters.

Conclusions:

  • This rectus tendon graft technique offers a viable method for MPFC reconstruction in managing recurrent lateral patellar instability.
  • The described surgical approach reconstructs the key medial stabilizers of the patella, potentially improving outcomes for patients with instability.