Medial Patellofemoral Complex Reconstruction Using the Rectus Femoris Tendon.

ABSTRACT: The medial proximal static stabilizers of the patella are the medial patellofemoral ligament (MPFL) and the medial quadriceps tendon femoral ligament. These are collectively referred to as the "medial patellofemoral complex" (MPFC). MPFL reconstruction is the workhorse of patellar stabilization surgery for recurrent lateral instability. We describe a technique for reconstructing the MPFC using the ipsilateral rectus tendon. The tendon is harvested via a curved superomedial incision using an open stripper, preserving its distal attachment. The tendon is prepared, flipped, and passed in the sub-vastus space toward the medial femoral epicondyle. A small longitudinal incision is used to retrieve the tendon. The anatomic attachment of the MPFC is identified using both palpatory and radiographic

SUBMITTER: Shekhar A 

PROVIDER: S-EPMC12801075 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature