title: Medial patellofemoral ligament reconstruction: a technique with a "v"-shaped patellar tunnel.
abstract: Patellofemoral dislocation is a common problem affecting the young and active population. The medial patellofemoral ligament (MPFL) is torn when the patella dislocates as it acts as a checkrein to lateral displacement. This leads to patellar instability, and MPFL reconstruction is required if the dislocation recurs after a trial of rehabilitation. We describe a "V"-shaped patellar tunnel technique to reconstruct the MPFL using an autologous gracilis graft. This modification of the patellar tunnel does not breach the lateral cortex of the patella, and it allows a broader attachment of the tendon graft to the patella, which mimics the normal anatomic attachment of the MPFL to the patella.
authors.affiliation: Exeter Knee Reconstruction Unit, Princess Elizabeth Orthopaedic Centre, Exeter, England.
authors.forename: Riaz
authors.initials: R
authors.lastname: Ahmad
authors.affiliation: Exeter Knee Reconstruction Unit, Princess Elizabeth Orthopaedic Centre, Exeter, England.
authors.forename: Narlaka
authors.initials: N
authors.lastname: Jayasekera
authors.affiliation: Exeter Knee Reconstruction Unit, Princess Elizabeth Orthopaedic Centre, Exeter, England.
authors.forename: Peter
authors.initials: P
authors.lastname: Schranz
authors.affiliation: Exeter Knee Reconstruction Unit, Princess Elizabeth Orthopaedic Centre, Exeter, England.
authors.forename: Vipul
authors.initials: V
authors.lastname: Mandalia