Double‐Bundle Artificial Medial Patellofemoral Ligament Reconstruction Using a Femoral Suture‐Sliding Anchor and Patellar Staged Tension Adjustment

Double‐bundle medial patellofemoral ligament reconstruction with artificial ligaments is a minimally invasive surgical option for recurrent patellar dislocation. However, it carries a risk of over‐tensioning, which may lead to restricted patellar mobility and anterior knee pain. Here, we describe a technique that combines an artificial ligament with a femoral suture‐sliding anchor and double‐tunnel patellar fixation. This construct enables staged tension adjustment, thereby mitigating the risk of over‐tensioning. By introducing the adjustability of the artificial double‐bundle graft at the patellar site, this method offers a reproducible means of fine‐tuning graft tension and avoiding over‐constraint in double‐bundle artificial medial patellofemoral ligament reconstruction.