Table 1.
Advantages |
The use of transpatellar bone tunnels is avoided. |
The risk of fracture to the patella is decreased. |
The graft-to-bone contact surface area is increased. |
The native stabilizing forces on the patella are re-created. |
Disadvantages |
The graft construct is biomechanically weaker compared with the use of transpatellar bone tunnels. |
The MQTFL is not re-created. |
MPFL, medial patellofemoral ligament; MQTFL, medial quadriceps tendon-femoral ligament.