1. Lateral Patellofemoral Ligament Reconstruction Using a Quadriceps Tendon Graft 
Michael G. Saper, D.O., A.T.C., C.S.C.S., David A. Shneider, M.D. 
Arthroscopy Techniques 
Volume 3, Issue 4, Pages e445-e448 (August 2014)
DOI: /j.eats
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

2. Fig 1
Preoperative arthroscopic images of patellofemoral compartment (left knee) viewed from anterolateral portal showing 2+ lateral patellar laxity at (A) full knee extension and (B) MPS at 30° of knee flexion.
Arthroscopy Techniques 2014 3, e445-e448DOI: ( /j.eats )
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

3. Fig 2
View of left knee after midline skin incision. A partial-thickness graft, taken from the most superficial layer of the tendon, is harvested from the central third of the quadriceps tendon, leaving its patellar insertion intact. Dissection is carried proximally enough to ensure that the graft is of sufficient length.
Arthroscopy Techniques 2014 3, e445-e448DOI: ( /j.eats )
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

4. Fig 3
A subfascial tunnel is created in the lateral retinaculum with a clamp from the edge of the quadriceps tendon to the LPFL attachment site at the lateral epicondyle.
Arthroscopy Techniques 2014 3, e445-e448DOI: ( /j.eats )
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

5. Fig 4
The end of the graft is secured with a No. 2 loop suture. The graft is then turned 90° laterally, twisted 180°, and passed through the subfascial tunnel with a passing suture.
Arthroscopy Techniques 2014 3, e445-e448DOI: ( /j.eats )
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

6. Fig 5
The graft is fixed to the LPFL attachment at the lateral epicondyle with a knotless anchor.
Arthroscopy Techniques 2014 3, e445-e448DOI: ( /j.eats )
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

7. Fig 6
Postoperative arthroscopic image of the patellofemoral articulation, viewed from the lateral portal (left knee), showing a stable patella, centered in the trochlea.
Arthroscopy Techniques 2014 3, e445-e448DOI: ( /j.eats )
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions