Abstract
BACKGROUND: Patellofemoral instability is a common condition that is associated with significant long-term morbidity. INDICATIONS: Persistent patellofemoral instability following a trial of nonoperative management. TECHNIQUE DESCRIPTION: Combined medial patellofemoral ligament and medial quadriceps tendon femoral ligament (MPFL/MQTFL) reconstruction with double-bundle semitendinosus allograft. RESULTS: In a consecutive series of 142 patients with a minimum 2-year follow-up, failure rate was 7.7%. Patients had improved functional outcomes, as compared to those who underwent nonoperative management. DISCUSSION/CONCLUSION: MPFL/MQTFL reconstruction is an operative solution to patellofemoral instability, which yields decreased rates of re-dislocation and improved patient functional outcomes. This technique also has the capacity to restore native anatomy and prevent the development of osteoarthritis over time. PATIENT CONSENT DISCLOSURE STATEMENT: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.