Name: Onlay MPFL Reconstruction With Hybrid Knee FiberTak® Anchors and a FastThread™ Interference Screw
Uploaded: 2025-12-30T00:00:00Z
Channel: Arthrex
Description: The Onlay MPFL Kit includes everything needed to complete MPFL reconstruction procedures, including two Hybrid Knee FiberTak® anchors for patellar fixation, a BioComposite FastThread™ interference screw for femoral fixation, and a ratcheting guide to stabilize the patella while drilling and implanting anchors.

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The Onlay MPFL Kit includes everything needed to complete MPFL reconstruction procedures, including two Hybrid Knee FiberTak® anchors for patellar fixation, a BioComposite FastThread™ interference screw for femoral fixation, and a ratcheting guide to stabilize the patella while drilling and implanting anchors.

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AN1-000769-en-US | A | Onlay MPFL Reconstruction With Hybrid Knee FiberTak® Anchors and a FastThread™ Interference Screw

A general overview including the relevant steps of an Arthrex surgical technique. These animations always include a voice-over explaining the process.

Eine allgemeine Übersicht, einschließlich der relevanten Schritte einer Arthrex Operationsanleitung. Diese Animationen enthalten immer Voice-Overs, die den Prozess erklären.

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Onlay MPFL Reconstruction With Hybrid Knee FiberTak® Anchors and a FastThread™ Interference Screw

Mpfl reconstruction with patellar onlay fixation using NE fiber anchors and femoral fixation with a biocomposite fast thread interference screw. The Onlay Mpfl kit features all instrumentation, implants, and sutures to perform an mpfl reconstruction, including two hybrid NE fiber anchors on tapered non self punching inserters for easy anchor implantation, a NE fiber tack ratcheting guide to stabilize the patella while drilling the pilot hole and implanting the anchor, and a six by 20mm biocomposite fast thread interference screw with a disposable tri lobe fast thread screwdriver for femoral graft fixation. To begin the technique, make a two centimetres skin incision from the superomedial corner, extending to the center of the medial edge of the patella. Create a groove on the medial patellar edge using a rongeur or powered bur. Place the spike of the NE fiber tack ratcheting guide firmly on the lateral rim of the patella, and slide the ratcheting drill sleeve down to the medial rim of the patella. Create a pilot hole for the anchor by advancing the 2.8mm hard bone knee fiber tack. Drill until it bottoms out against the back of the drill sleeve. Insert the hybrid knee fiber tack anchor by hand, advancing the tip of the anchor until it is within the pilot hole. Using a mallet, gently advance the inserter until the inserter handle bottoms out against the back of the drill sleeve. Remove the anchor inserter and ratcheting guide. Gently pull the black suture limbs to set the anchor in the patella. Repeat the drilling, insertion, and setting process to place a second anchor, spaced approximately 15mm to 20mm from the first anchor. Pass the prepared graft through the blue knotless loops of both anchors. Tension the graft down to the medial patella by pulling the blue tensioning strands. If using the Fluoroscopic template, place the template on the area of the medial epicondyle on the distal femur under fluoroscopic guidance. A 2.4mm zebra pin targeting at chattels Point is drilled across the femur. The pin should be aimed slightly proximal and anterior to avoid the intercondylar notch. Use a seven millimetres low profile reamer to create a socket. Maintain the 2.4mm zebra pin in the femur, as it will be used to pass the graft, shuttling suture through the femur. Using a curved clamp, pass a fibre snare suture, leaving the looped end out the patellar incision. Use the loop of the fibre snare suture to deliver the graft out of the medial femoral incision. Place a 1.1mm nitinol guide wire into the femoral socket, next to the 2.4mm zebra pin. Shuttle the single tail end of the fibre. Snare suture using the eyelet of the zebra pin and deliver out of the lateral femur. Load the graft whipstitch sutures through the loop of the fiber. Snare and deliver the graft. Sutures through the lateral femur, using a curved hemostat as a pulley. Pretension the graft and draw the limbs into the socket with equal tension on both graft bundles, with the knee at 30 degrees of flexion. Insert the six by 20 millimeter biocomposite fast thread interference screw into the femur while maintaining tension on the graft. The black 1.3mm sliding suture tape limbs with swaged needles from the patellar anchors provide added versatility and can be used to close the retinaculum passed through the graft for additional fixation, or to accomplish a VMO advancement as needed. Cut the whipstitch suture limbs on the lateral femur flush to the bone.

MPFL Reconstruction

Onlay MPFL Reconstruction With Hybrid Knee FiberTak® Anchors and a FastThread™ Interference Screw

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