Medial Patellofemoral Ligament Reconstruction Using Double Limbed Rectus Femoris Autograft

Medial patellofemoral ligament reconstruction is routinely performed when conservative treatment fails and patients present with recurrent patellar dislocations. Most described techniques require fixation or some type of bony procedure on the patella. The technique using a rectus femoris tendon graft, harvested with an open stripper and left attached to the patella, provides better anatomical correspondence with the native medial patellofemoral ligament and adequate graft thickness. Furthermore, it can be performed in skeletally immature patients without the need for fixation materials or bone tunnel creation.