Abstract
Patellofemoral dislocations are commonly encountered knee ailment. Although majority of the patients are managed conservatively, depending on the patients' demands and predisposing factors, patients with recurrent dislocations often require surgical intervention. The main aim of any surgical procedure should be to restore the anatomy of the soft tissue as well as the bony elements. We here describe a technique which combines transverse patella double tunnel technique with tibial tuberosity distalization and medicalization to reconstruct the medial patellofemoral ligament using a free autologous semitendinosus graft.