Combined Reconstruction of the Medial Patellofemoral Ligament With Quadricipital Tendon and the Medial Patellotibial Ligament With Patellar Tendon Betina.

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Combined Reconstruction of the Medial Patellofemoral Ligament With Quadricipital Tendon and the Medial Patellotibial Ligament With Patellar Tendon Betina Bremer Hinckel, M.D., Riccardo Gomes Gobbi, Ph.D., Marco Kawamura Demange, Ph.D., Marcelo Batista Bonadio, M.D., José Ricardo Pécora, Ph.D., Gilberto Luis Camanho, Ph.D. Arthroscopy Techniques Volume 5, Issue 1, Pages e79-e84 (February 2016) DOI: 10.1016/j.eats.2015.10.004 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 Patient with knee hyperextension positioned in operating room. © 2016 Betina Bremer Hinckel. All Rights Reserved. Arthroscopy Techniques 2016 5, e79-e84DOI: (10.1016/j.eats.2015.10.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 (A) Separation of superficial layer from quadriceps (quad) tendon. (B) Harvested quadriceps tendon (minimally invasive technique). (MPFL, medial patellofemoral ligament.) © 2016 Betina Bremer Hinckel. All Rights Reserved. Arthroscopy Techniques 2016 5, e79-e84DOI: (10.1016/j.eats.2015.10.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 Graft harvest from medial portion of patellar tendon using minimally invasive technique. © 2016 Betina Bremer Hinckel. All Rights Reserved. Arthroscopy Techniques 2016 5, e79-e84DOI: (10.1016/j.eats.2015.10.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 4 Grafts harvested from quadricipital tendon and patellar tendon using open technique. © 2016 Betina Bremer Hinckel. All Rights Reserved. Arthroscopy Techniques 2016 5, e79-e84DOI: (10.1016/j.eats.2015.10.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 5 Insertion and reconstruction of medial patellofemoral ligament with quadricipital tendon and of medial patellotibial ligament with patellar tendon: (A) anteroposterior view and (B) lateral view. © 2016 Betina Bremer Hinckel. All Rights Reserved. Arthroscopy Techniques 2016 5, e79-e84DOI: (10.1016/j.eats.2015.10.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 6 Final aspect of reconstruction of medial patellofemoral ligament with quadricipital tendon and of medial patellotibial ligament with patellar tendon using open technique. (MPFL, medial patellofemoral ligament; MPTL, medial patellotibial ligament.) © 2016 Betina Bremer Hinckel. All Rights Reserved. Arthroscopy Techniques 2016 5, e79-e84DOI: (10.1016/j.eats.2015.10.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 7 Sutured minimally invasive incisions. © 2016 Betina Bremer Hinckel. All Rights Reserved. Arthroscopy Techniques 2016 5, e79-e84DOI: (10.1016/j.eats.2015.10.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions