Table 2.

Pearls and Pitfalls of MPFL Reconstruction Using Hybrid 2-Point Suture Anchor Technique

Pearls

A true lateral view of the knee is required to determine the Schöttle point for femoral graft placement.

Counterpressure should be placed on the lateral border of the patella during suture anchor placement for increased stability and control.

When integrating the free ends of the graft together, one should use 5-7 passes of the FiberLoop.

The femoral interference screw should be fixed at 30° to 45° of knee flexion.

Pitfalls

Over-tensioning the graft can lead to increased medial contact pressure and patellar tilting.16

Delayed advancement of weight-bearing activities can result in prolonged knee stiffness.

MPFL, medial patellofemoral ligament.