Medial Patellofemoral Ligament Repair With Suture Tape Augmentation

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Medial Patellofemoral Ligament Repair With Suture Tape Augmentation Graeme P. Hopper, M.B.Ch.B., M.Sc., M.R.C.S., Christiaan H.W. Heusdens, M.D., Lieven Dossche, M.D., Gordon M. Mackay, M.D. Arthroscopy Techniques Volume 8, Issue 1, Pages e1-e5 (January 2019) DOI: 10.1016/j.eats.2018.08.021 Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 1 Left knee, medial view. The medial border of the patella (1 asterisk), medial epicondyle (2 asterisks), and medial patellofemoral ligament (3 asterisks) are shown. Arthroscopy Techniques 2019 8, e1-e5DOI: (10.1016/j.eats.2018.08.021) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 2 Left knee, medial view. A short parapatellar incision (1 asterisk) is made to expose the medial border of the patella. A stab incision (2 asterisks) is then made over the medial epicondyle. Arthroscopy Techniques 2019 8, e1-e5DOI: (10.1016/j.eats.2018.08.021) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 3 Left knee, medial view. (A, B) Preparation for the anchor by predrilling (1 asterisk) and tapping (2 asterisks) just posterior and proximal to the medial epicondyle. (C) The anchor preloaded with the suture tape (3 asterisks) is inserted, with the surgeon ensuring it is flush with the cortex. Arthroscopy Techniques 2019 8, e1-e5DOI: (10.1016/j.eats.2018.08.021) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 4 Left knee, medial view. The suture tape (1 asterisk) has been shuttled from the medial epicondyle (2 asterisks) toward the medial border of the patella (3 asterisks) in the direction of the medial patellofemoral ligament. Arthroscopy Techniques 2019 8, e1-e5DOI: (10.1016/j.eats.2018.08.021) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 5 Left knee, medial view. (A, B) Preparation is carried out for the second anchor by predrilling (1 asterisk) and tapping (2 asterisks) at the anteromedial angle of the patella where the superior surface meets the medial wall. Arthroscopy Techniques 2019 8, e1-e5DOI: (10.1016/j.eats.2018.08.021) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 6 Left knee, medial view. Medial patellofemoral ligament repair using FiberWire (asterisk). Arthroscopy Techniques 2019 8, e1-e5DOI: (10.1016/j.eats.2018.08.021) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 7 Left knee, medial view. The suture tape is repositioned in the eye of the anchor at the marked level (asterisk) to ensure that the anatomic length of the medial patellofemoral ligament is restored. Arthroscopy Techniques 2019 8, e1-e5DOI: (10.1016/j.eats.2018.08.021) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions