{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T09:06:42Z","timestamp":1789204002495,"version":"build-2803163510"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"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."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Recurrent patellar instability may persist after isolated medial patellofemoral ligament reconstruction, particularly in cases with instability beyond early knee flexion. Recent evidence has emphasized the role of the medial patellotibial ligament as a secondary stabilizer contributing to patellofemoral stability at higher degrees of flexion. As a result, combined reconstruction of the medial patellofemoral ligament and medial patellotibial ligament has emerged as a promising strategy to restore more physiologic patellar kinematics. This technical note describes a reproducible technique for combined medial patellofemoral ligament and medial patellotibial ligament reconstruction using a single rectus femoris tendon autograft harvested from the superficial layer of the quadriceps tendon. The technique is soft\u2010tissue\u2010based and physeal\u2010sparing and avoids bone tunnels, making it particularly suitable for skeletally immature patients. The rectus femoris graft provides sufficient length, favorable biomechanical properties, low donor\u2010site morbidity, and satisfactory cosmetic results through a minimally invasive approach.<\/jats:p>","DOI":"10.1002\/atn2.70252","type":"journal-article","created":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T08:40:49Z","timestamp":1789202449000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Medial Patellofemoral and Medial Patellotibial Ligament Reconstruction Using a Docked Rectus Femoris Graft"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8195-0036","authenticated-orcid":false,"given":"Felipe Silveira","family":"Martins","sequence":"first","affiliation":[{"name":"Clinica de Ortopedia e Traumatologia (COT)  Balne\u00e1rio Cambori\u00fa Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5521-081X","authenticated-orcid":false,"given":"Augusto Thadeu","family":"Cardoso Filho","sequence":"additional","affiliation":[{"name":"Clinica de Ortopedia e Traumatologia (COT)  Balne\u00e1rio Cambori\u00fa Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1339-4785","authenticated-orcid":false,"given":"Sergio Marinho de Gusm\u00e3o","family":"Canuto","sequence":"additional","affiliation":[{"name":"Ortoclinica Hospital de Ortopedia  Macei\u00f3 Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1139-2524","authenticated-orcid":false,"given":"Camilo Partezani","family":"Helito","sequence":"additional","affiliation":[{"name":"Instituto de Ortopedia e Traumatologia Universidade de S\u00e3o Paulo  S\u00e3o Paulo Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8447-7660","authenticated-orcid":false,"given":"Bernardo Garcia","family":"Barroso","sequence":"additional","affiliation":[{"name":"Instituto de Ortopedia e Traumatologia Vit\u00f3ria Apart Hospital  Serra Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2755-9969","authenticated-orcid":false,"given":"M\u00e1rcio Cabral Fagundes","family":"R\u00eago","sequence":"additional","affiliation":[{"name":"Hospital Memorial S\u00e3o Francisco  Natal Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8499-8659","authenticated-orcid":false,"given":"Marcelo Cabral Fagundes","family":"R\u00eago","sequence":"additional","affiliation":[{"name":"Hospital Memorial S\u00e3o Francisco  Natal Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5702-1529","authenticated-orcid":false,"given":"Diego","family":"Ariel de Lima","sequence":"additional","affiliation":[{"name":"Universidade Federal Rural do Semi\u2010\u00c1rido (UFERSA)  Mossor\u00f3 Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/BF01552649","article-title":"Factors of patellar instability: An anatomic radiographic study","volume":"2","author":"Dejour H","year":"1994","journal-title":"Knee Surg Sport Traumatol Arthrosc."},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1007\/s00167-011-1598-6","article-title":"The role of the medial ligamentous structures on patellar tracking during knee flexion","volume":"20","author":"Philippot 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