Table 2.

Advantages and Disadvantages

Advantages

Anatomic placement is performed below the distal femoral growth plate of the graft.

The technique avoids long tunnels.

Aperture fixation is used, which may be stronger than fixation with soft tissue alone.

The effect of longitudinal growth on the isometrics of the reconstructed graft is minimized.

The hamstring tendon allows robust reconstruction of the MPFL, which is stronger than the original MPFL.

Small incisions are required.

Early range of motion and weight bearing are allowed.

Disadvantages

Precise positioning and assessment of graft length are required before graft fixation.

Intraoperative fluoroscopy is required.