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Using a knotless anchor for epiphyseal femoral fixation in the skeletally immature decreases the risk of irritable interference screw fixation and optimizes graft contact with host bone. Optimal tunnel position and depth, graft delivery, and secure anchor fixation are the keys to a successful reconstruction.<\/jats:p>","DOI":"10.1002\/atn2.70065","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:51:08Z","timestamp":1777510268000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Double\u2010Limbed Medial Patellofemoral Ligament Reconstruction Using Knotless Femoral Fixation Technique"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5444-094X","authenticated-orcid":false,"given":"Henry B.","family":"Ellis","sequence":"first","affiliation":[{"name":"Scottish Rite for Children  Dallas Texas U.S.A."},{"name":"University of Texas Southwestern Medical Center  Dallas Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7976-0525","authenticated-orcid":false,"given":"John 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