1. Minimally Invasive Reconstruction of the Medial Patellofemoral Ligament Using Quadriceps Tendon 
Christian Fink, M.D., Matjaz Veselko, M.D., Mirco Herbort, M.D., Christian Hoser, M.D. 
Arthroscopy Techniques 
Volume 3, Issue 3, Pages e325-e329 (June 2014)
DOI: /j.eats
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

2. Fig 1
Step 1 of graft harvest: A double knife of 10 or 12 mm is pushed proximally 8 to 10 cm above the superior patellar border.
Arthroscopy Techniques 2014 3, e325-e329DOI: ( /j.eats )
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

3. Fig 2
Step 2 of graft harvest: A tendon separator (3 mm) is pushed proximally 8 to 10 cm above the superior patellar border.
Arthroscopy Techniques 2014 3, e325-e329DOI: ( /j.eats )
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

4. Fig 3
Step 3 of graft harvest: The quadriceps tendon strip is cut at the desired length (8 to 10 cm) with a tendon cutter.
Arthroscopy Techniques 2014 3, e325-e329DOI: ( /j.eats )
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

5. Fig 4
The tendon strip is left attached on the patella on 1 side, and the free end is augmented with resorbable No. 2-0 sutures by use of a baseball-stitch technique.
Arthroscopy Techniques 2014 3, e325-e329DOI: ( /j.eats )
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

6. Fig 5
The quadriceps tendon strip is detached from the bony surface of the patella.
Arthroscopy Techniques 2014 3, e325-e329DOI: ( /j.eats )
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

7. Fig 6
From the medial patellar border, the prepatellar tissue is elevated, creating a tunnel. The graft is passed through the tunnel and secured to the tissue on the medial patellar border with No. 2-0 sutures.
Arthroscopy Techniques 2014 3, e325-e329DOI: ( /j.eats )
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions