1. Medial Patellofemoral Ligament Reconstruction: A New Technique for Graft Fixation at the Patella Without Implants 
Sven Shafizadeh, M.D., Maurice Balke, M.D. 
Arthroscopy Techniques 
Volume 3, Issue 1, Pages e115-e117 (February 2014)
DOI: /j.eats
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

2. Fig 1
Drawing of implant-free graft fixation using special shuttling technique. Two 4.5-mm holes with a depth of 1 cm are drilled at the lateral aspect of the patella. A 2.4-mm wire with a small eyelet at the end is drilled through the lateral cortex (A), and 1 suture per hole is shuttled through the patella and retrieved through the anterolateral arthroscopy portal on the lateral side (B). By use of our shuttling technique, 2 sutures are passed through the patella and around the lateral cortex (B-D). The middle part of the graft is inserted into the loops (E) and pulled press-fit into the bone tunnels (F). Tying the knots allows very secure graft fixation.
Arthroscopy Techniques 2014 3, e115-e117DOI: ( /j.eats )
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions