Table 2.
Pearls and Pitfalls of MPFL Reconstruction Using FiberTape and Knotless SwiveLock Anchors
| Pearls | Pitfalls |
|---|---|
| Patients without severe bony abnormalities are good candidates. | Overtensioning of the FiberTape increases PFJ pressure,9 which results in PFJ pain and prolonged postoperative rehabilitation |
| Use of an image intensifier is recommended for precise femoral placement | Nonanatomic MPFL femoral placement is a risk factor for unsuccessful surgery1 |
| A temporal suture should be placed over the FiberTape to prevent movement within the eyelet of the SwiveLock anchor | |
| The FiberTape should be fixed at 60° to 90° of knee flexion without tensioning9 |
MPFL, medial patellofemoral ligament; PFJ, patellofemoral joint.