Medial Patellotibial Ligament Reconstruction in Pediatric and Adolescent Patients With Patellofemoral Instability

Recent literature trends toward early surgical intervention for optimal treatment of patellofemoral instability, typically involving medial patellofemoral ligament reconstruction. Medial patellotibial ligament (MPTL) reconstruction is an adjunctive procedure with medial patellofemoral ligament reconstruction, given its role as an additional restraint to patellar translation during knee flexion. The purpose of this Technical Note is to demonstrate the preferred MPTL reconstruction technique in pediatric and adolescent patients at this institution, which mimics an anatomic approach in which the tibial portion of the MPTL graft is secured to the epiphysis.