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Observational study shows a 7.7% failure rate in 142 patients post MPFL and MQTFL reconstruction, indicating enhanced functional recovery.
Background: Patellofemoral instability is a common condition that is associated with significant long-term morbidity. Indications: Persistent patellofemoral instability following a trial of nonoperative management. Technique Description: Combined medial patellofemoral ligament and medial quadriceps tendon femoral ligament (MPFL/MQTFL) reconstruction with double-bundle semitendinosus allograft. Results: In a consecutive series of 142 patients with a minimum 2-year follow-up, failure rate was 7.7%. Patients had improved functional outcomes, as compared to those who underwent nonoperative management. Discussion/Conclusion: MPFL/MQTFL reconstruction is an operative solution to patellofemoral instability, which yields decreased rates of re-dislocation and improved patient functional outcomes. This technique also has the capacity to restore native anatomy and prevent the development of osteoarthritis over time. Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.
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Reikersdorfer et al. (2025) studied this question.
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