{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T14:17:04Z","timestamp":1784557024684,"version":"3.55.0"},"reference-count":16,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["arthrosc. tech."],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Patellar instability commonly affects adolescents and young athletes and is associated with injury to the medial patellofemoral ligament (MPFL). MPFL reconstruction is a well\u2010established treatment for recurrent instability; however, complications related to graft tensioning, fixation, and incomplete restoration of medial soft\u2010tissue restraints persist. We describe a surgical technique for allograft MPFL reconstruction that emphasizes stepwise imbrication of the medial knee layers, anatomic femoral tunnel placement, and all\u2010suture fixation to the patella. This approach restores both the static restraint provided by the MPFL graft and the dynamic stabilizing effect of the medial soft tissues, creating a \u201cbumper effect\u201d analogous to principles of shoulder stabilization. This technique provides a thoughtful and durable method for MPFL reconstruction and may be performed as an isolated procedure or in conjunction with adjunctive bony or cartilage procedures.<\/jats:p>","DOI":"10.1002\/atn2.70087","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T12:02:09Z","timestamp":1779969729000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Allograft Medial Patellofemoral Ligament Reconstruction Using Patellar Suture Anchors and Stepwise Medial Imbrication"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3580-4143","authenticated-orcid":false,"given":"Mark M.","family":"Kodsy","sequence":"first","affiliation":[{"name":"University Hospitals Drusinsky Sports Medicine Institute  Cleveland Ohio U.S.A."},{"name":"Case Western Reserve University School of Medicine  Cleveland Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3034-9809","authenticated-orcid":false,"given":"Tony","family":"Ezzat","sequence":"additional","affiliation":[{"name":"University Hospitals Drusinsky Sports Medicine Institute  Cleveland Ohio U.S.A."},{"name":"Cleveland Clinic Lerner College of Medicine  Cleveland Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8554-5330","authenticated-orcid":false,"given":"Simon","family":"Yacoub","sequence":"additional","affiliation":[{"name":"University Hospitals Drusinsky Sports Medicine Institute  Cleveland Ohio U.S.A."},{"name":"Cleveland Clinic Lerner College of Medicine  Cleveland Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9208-4587","authenticated-orcid":false,"given":"Lambert","family":"Li","sequence":"additional","affiliation":[{"name":"University Hospitals Drusinsky Sports Medicine Institute  Cleveland Ohio U.S.A."},{"name":"Case Western Reserve University School of Medicine  Cleveland Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy","family":"Adelstein","sequence":"additional","affiliation":[{"name":"University Hospitals Drusinsky Sports Medicine Institute  Cleveland Ohio U.S.A."},{"name":"Case Western Reserve University School of Medicine  Cleveland Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhargavi","family":"Maheshwer","sequence":"additional","affiliation":[{"name":"University Hospitals Drusinsky Sports Medicine Institute  Cleveland Ohio U.S.A."},{"name":"Case Western Reserve University School of Medicine  Cleveland Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Salata","sequence":"additional","affiliation":[{"name":"University Hospitals Drusinsky Sports Medicine Institute  Cleveland Ohio U.S.A."},{"name":"Case Western Reserve University School of Medicine  Cleveland Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2021.01.025"},{"key":"e_1_2_7_3_1","first-page":"e103318","article-title":"Anatomic medial patellofemoral ligament reconstruction using \u201cdouble\u2010socket\u201d technique","volume":"13","author":"Selvaraj A","year":"2024","journal-title":"Arthrosc Tech."},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1941738117725055"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2025.103657"},{"key":"e_1_2_7_6_1","first-page":"e103299","article-title":"Concomitant medial patellofemoral ligament reconstruction, tibial tubercle osteotomy, trochleoplasty, and osteochondral autograft transfer to the patella","volume":"13","author":"Stone JA","year":"2024","journal-title":"Arthrosc 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