MPFL Reconstruction

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

Successful MPFL reconstruction is dependent on anatomic placement of the graft. The 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.

Other options include Knee FiberTak® anchors for onlay MPFL techniques as well as 4 MPFL convenience packs to address each patient's unique needs and each surgeon's fixation preference. 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 anatomic double-bundle technique replicates the native shape of the medial patellofemoral ligament (MPFL), provides stability in both flexion and extension, and effectively limits rotation throughout ROM, helping minimize postoperative instability. The technique, if accomplished directly and anatomically, can also allow for more aggressive rehabilitation protocols and earlier return to activity.1

Successful MPFL reconstruction is dependent on anatomic placement of the graft. The 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.

Other options include Knee FiberTak® anchors for onlay MPFL techniques as well as 4 MPFL convenience packs to address each patient's unique needs and each surgeon's fixation preference. 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

All-Epiphyseal, All-Onlay MPFL Reconstruction Using Knee FiberTak® Anchors

Jonathan Riboh, MD
Surgical Technique Videos | 21:22 | English | 08/02/2023 | VID1-003962-en-US A

All-Onlay MPFL Using Hybrid Knotless Knee FiberTak® Anchors

Asheesh Bedi, MD
Surgical Technique Videos | 16:29 | English | 04/25/2023 | VID1-003856-en-US A
Onlay MPFL Using Knee FiberTak® Hybrid Anchors
Onlay MPFL Using Knee FiberTak® Hybrid Anchors
Gautam P. Yagnik, MD
Surgical Technique Videos | 13:35 | English | 07/18/2023 | VID1-003871-en-US A
MPFL Reconstruction With Knee FiberTak® Anchors and a BioComposite FastThread™ Interference Screw
MPFL Reconstruction With Knee FiberTak® Anchors and a BioComposite FastThread™ Interference Screw
Surgical Technique Guides | English | 01/23/2024 | LT1-000268-en-US B
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(18)
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English
(23)
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Surgical Technique Videos (11)

MPFL Repair Using Knee FiberTak® Anchors and the InternalBrace™ Technique
MPFL Repair Using Knee FiberTak® Anchors and the InternalBrace™ Technique
Jeffrey Guy, MD
10:49 | English | 06/14/2024 | VID1-006348-en-US B
All-Epiphyseal, All-Onlay MPFL Reconstruction Using Knee FiberTak® Anchors
All-Epiphyseal, All-Onlay MPFL Reconstruction Using Knee FiberTak® Anchors
Jonathan Riboh, MD
21:22 | English | 08/02/2023 | VID1-003962-en-US A
Onlay MPFL Using Knee FiberTak® Hybrid Anchors
Onlay MPFL Using Knee FiberTak® Hybrid Anchors
Gautam P. Yagnik, MD
13:35 | English | 07/18/2023 | VID1-003871-en-US A
MPFL Repair Using the InternalBrace™ Technique With Knee FiberTak® and SwiveLock® Anchors
MPFL Repair Using the InternalBrace™ Technique With Knee FiberTak® and SwiveLock® Anchors
Neal ElAttrache, MD
11:51 | English | 06/22/2023 | VID1-003817-en-US C
Onlay MPFL Reconstruction Using Hybrid Knee FiberTak® Anchors and a TightRope® II RT Implant
Onlay MPFL Reconstruction Using Hybrid Knee FiberTak® Anchors and a TightRope® II RT Implant
J. Lee Pace, MD
10:27 | English | 06/22/2023 | VID1-003943-en-US A
All-Onlay MPFL Using Hybrid Knotless Knee FiberTak® Anchors
All-Onlay MPFL Using Hybrid Knotless Knee FiberTak® Anchors
Asheesh Bedi, MD
16:29 | English | 04/25/2023 | VID1-003856-en-US A
MPFL Reconstruction Using 3.9 mm BioComposite SwiveLock® Anchors and ACL TightRope® Implant
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
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
Tibial Tubercle Osteotomy with Anteromedialization (AMZ) and MPFL Reconstruction
Eric J. Strauss, MD
Surgical Technique Videos | 10:41 | English | 04/12/2017 | VID1-00268-EN B
MPFL Rekonstruktion
MPFL Rekonstruktion
Philip Schöttle, MD, PhD
Surgical Technique Videos | 10:38 | German | 05/20/2009 | DVD-2003G A
MPFL Reconstruction
MPFL Reconstruction
Philip Schöttle, MD, PhD
Surgical Technique Videos | 10:06 | English | 05/20/2009 | DVD-2003 A

Surgical Technique Animations (3)


Surgical Technique Guides (5)


Brochures (1)

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

Catalogs (1)

Knee Next Generation in Repair and Reconstruction | 2022
Knee Next Generation in Repair and Reconstruction | 2022
English | 05/18/2022 | LB1-0115-en-US AB

Presentation Videos (4)

MPFL with AMZ and Cartiform® Viable Osteochondral Allograft
MPFL with AMZ and Cartiform® Viable Osteochondral Allograft
Brian J. Cole, MD, MBA
05:23 | English | 07/31/2017 | VID1-00926-EN A
MPFL Reconstruction
MPFL Reconstruction
Patrick A. Smith, MD
22:40 | English | 10/31/2014 | VPT1-00360-EN A
MPFL Reconstruction and Trochleoplasty Presentation
MPFL Reconstruction and Trochleoplasty Presentation
Philip Schöttle, MD, PhD
17:59 | English | 09/23/2014 | VPT1-00269-EN A
MPFL Reconstruction
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
MPFL Graft Preparation Using FiberLoop® SutureTape
J. Lee Pace, MD
10:54 | English | 12/09/2022 | VID1-003666-en-US A
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