MPFL Reconstruction

The Arthrex Anatomic Double-Bundle Technique for medial patellofemoral ligament (MPFL) reconstruction replicates the native shape of the MPFL and provides stability in both flexion and extension. The Double-Bundle Technique also effectively limits rotation throughout ROM, helping to minimize postoperative instability. The technique, if accomplished directly and anatomically, can also provide for more aggressive rehabilitation protocols and earlier return to activity.1

Successful MPFL reconstruction is dependent on anatomic placement of the graft. Our technique incorporates the use of a femoral template to ensure proper placement of the graft in the femur. This position provides a static fixation point that equalizes the tension across the graft in flexion and extension, thus helping minimize stress across the patellofemoral joint.

Arthrex offers 4 MPFL convenience packs to address each patient's unique needs as well as each surgeon's preference for fixation. The newest kits use 3.9 mm BioComposite SwiveLock® anchors for patellar fixation and either a 6 mm × 20 mm BioComposite FastThread™ interference screw or an ACL TightRope® implant for femoral fixation.

Reference

1. Schöttle PB, Hensler D, Imhoff AB. Anatomical double-bundle MPFL reconstruction with an aperture fixation. Knee Surg Sports Traumatol Arthrosc. 2010;18(2):147-151. doi:10.1007/s00167-009-0868-z

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The Arthrex Anatomic Double-Bundle Technique for medial patellofemoral ligament (MPFL) reconstruction replicates the native shape of the MPFL and provides stability in both flexion and extension. The Double-Bundle Technique also effectively limits rotation throughout ROM, helping to minimize postoperative instability. The technique, if accomplished directly and anatomically, can also provide for more aggressive rehabilitation protocols and earlier return to activity.1

Successful MPFL reconstruction is dependent on anatomic placement of the graft. Our technique incorporates the use of a femoral template to ensure proper placement of the graft in the femur. This position provides a static fixation point that equalizes the tension across the graft in flexion and extension, thus helping minimize stress across the patellofemoral joint.

Arthrex offers 4 MPFL convenience packs to address each patient's unique needs as well as each surgeon's preference for fixation. The newest kits use 3.9 mm BioComposite SwiveLock® anchors for patellar fixation and either a 6 mm × 20 mm BioComposite FastThread™ interference screw or an ACL TightRope® implant for femoral fixation.

Reference

1. Schöttle PB, Hensler D, Imhoff AB. Anatomical double-bundle MPFL reconstruction with an aperture fixation. Knee Surg Sports Traumatol Arthrosc. 2010;18(2):147-151. doi:10.1007/s00167-009-0868-z

View More

Educational Resources and Products

3.9 mm BioComposite SwiveLock® and TightRope® MPFL Implant Kit

Surgical Technique Animations | 03:52 | English | 03/01/2021 | AN1-00121-EN B
MPFL Reconstruction Using 3.9 mm BioComposite SwiveLock® Anchors and ACL TightRope® Implant
Thomas M. DeBerardino, MD
Surgical Technique Videos | 19:37 | English | 12/30/2020 | VID1-001857-en-US A
MPFL Reconstruction: BioComposite SwiveLock® Anchors and BioComposite FastThread™ Interference Screw
Patrick A. Smith, MD
Surgical Technique Videos | 11:20 | English | 12/17/2020 | VID1-001334-en-US A
Medial Patellofemoral Ligament (MPFL) Reconstruction
Surgical Technique Guides | English | 12/28/2020 | LT1-0129-EN H
MPFL with ACL TightRope® Implant and 3.5 mm SwiveLock® Anchor
Surgical Technique Guides | English | 05/26/2016 | LT1-0123-EN C
Videos
(13)
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Videos
Documents
(3)
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Documents
English
(16)
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Languages

Surgical Technique Videos (6)

Primary MPFL Repair Using the InternalBrace™ Technique
Jeffrey Guy, MD
09:19 | English | 10/27/2021 | VID1-01154-en-US B
MPFL Reconstruction Using 3.9 mm BioComposite SwiveLock® Anchors and ACL TightRope® Implant
Thomas M. DeBerardino, MD
19:37 | English | 12/30/2020 | VID1-001857-en-US A
MPFL Reconstruction: BioComposite SwiveLock® Anchors and BioComposite FastThread™ Interference Screw
Patrick A. Smith, MD
11:20 | English | 12/17/2020 | VID1-001334-en-US A
Tibial Tubercle Osteotomy with Anteromedialization (AMZ) and MPFL Reconstruction
Eric J. Strauss, MD
10:41 | English | 04/12/2017 | VID1-00268-EN B
MPFL Rekonstruktion
Philip Schöttle, MD, PhD
10:38 | German | 05/20/2009 | DVD-2003G A
MPFL Reconstruction
Philip Schöttle, MD, PhD
10:06 | English | 05/20/2009 | DVD-2003 A

Surgical Technique Animations (2)

Surgical Technique Guides (4)

Medial Patellofemoral Ligament (MPFL) Reconstruction
English | 12/28/2020 | LT1-0129-EN H
LPFM con ACL TightRope® y SwiveLock® de 3,5 mm
Spanish | 09/12/2014 | LT1-0123-ES B
Ligamento Patelofemoral Medial (LPFM)
Spanish | 03/13/2013 | LT1-0129-ES E

Presentation Videos (5)

MPFL with AMZ and Cartiform® Viable Osteochondral Allograft
Brian J. Cole, MD, MBA
05:23 | English | 07/31/2017 | VID1-00926-EN A
Trochleoplasty - Indications and Methods
Philip Schöttle, MD, PhD
05:14 | English | 03/22/2016 | VID1-00640-EN A
MPFL Reconstruction
Patrick A. Smith, MD
22:40 | English | 10/31/2014 | VPT1-00360-EN A
MPFL Reconstruction and Trochleoplasty Presentation
Philip Schöttle, MD, PhD
17:59 | English | 09/23/2014 | VPT1-00269-EN A
MPFL Reconstruction
Patrick A. Smith, MD
23:00 | English | 10/23/2013 | VPT1-0041-EN A

Product Demonstrations (1)

MPFL Graft Preparation Using FiberLoop® SutureTape
J. Lee Pace, MD
10:54 | English | 12/09/2022 | VID1-003666-en-US A

Product and Technique Highlights (1)

MPFL Reconstruction Implant System
English | 06/17/2021 | DOC1-000531-en-US A


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