Table 1.

Pearls and Pitfalls

Pearls

Ensure that the level of the capsule is reached, so the sutures will be between layers 2 and 3.

Place the sutures close to the attachment of the MPFL at the patella to allow proper control and tensioning.

Test the mobility of the patella to ensure that the sutures are addressing patella maltracking and add a lateral release—only if necessary.

Pitfalls

Do not over tighten your repair.

Place the knee at 30° 40° of flexion and do not forget to complete a full ROM assessment after the repair is done.

MPFL, medial patellofemoral ligament; ROM, range of motion.