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May 20, 2026Arthroscopy Techniques0 citationsOpen Access

Medial Patellofemoral Ligament Reconstruction Using Double Limbed Rectus Femoris Autograft

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VMVinicios Barreto MeloSBSaulo Santos BlunkSCSérgio Marinho de Gusmão Canuto

Key Points

  • This research aims to evaluate the effectiveness of medial patellofemoral ligament reconstruction using a rectus femoris autograft.
  • Patients with recurrent patellar dislocations underwent medial patellofemoral ligament reconstruction using a rectus femoris tendon graft.
  • The graft was harvested with an open stripper and left attached to the patella leading to anatomical alignment.
  • The technique was designed for skeletally immature patients without fixation materials or bone tunnels.
  • Utilization of the rectus femoris autograft resulted in improved anatomical correspondence with the native ligament.
  • No fixation materials or bone tunnels were required, simplifying the procedure for younger patients.
  • Adequate graft thickness was achieved, potentially enhancing surgical outcomes.

Abstract

Abstract 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.

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Cite This Study

Melo et al. (2026) studied this question.

synapsesocial.com/papers/6a0d5098f03e14405aa9c90fhttps://doi.org/10.1002/atn2.70009
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