Fig. 7.

Intraoperative picture of a MPFL reconstruction using a suture anchor technique for patellar (asterisk) fixation. The gracilis autograft (green arrows) is laid over the top of the two suture anchors (blue arrows) which is then tied in place. The medial patellar cortical bone can be roughened up with a burr to encourage healing of the graft to the patella. Note that the MPFL was combined with additional procedures and thus the larger incision than would be required for only an MPFL reconstruction