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Patella\u2010side fixation of the FT can be performed with suture anchors or via soft\u2010tissue fixation. The aim of this study was to investigate whether patella\u2010side soft\u2010tissue fixation can achieve equivalent primary stability compared to suture\u2010anchor fixation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In ten human, fresh\u2010frozen knee joint specimens (m\/f 6\/4; age 74\u2009\u00b1\u20099 a), the MPFL was identified and dissected near the femoral insertion site. In five knee joints, the MPFL\u2010R using FT was performed with soft\u2010tissue fixation at the patella (study group; SG), and in five knee joints, the FT was fixed via suture anchors (control group, CG). All reconstructions were evaluated until load to failure of the patella\u2010side fixation with a displacement rate of 200\u00a0mm\/min.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean maximum load to failure in the SG was 395.3\u2009\u00b1\u200957.9\u00a0N. All reconstructions failed by complete tearing off the medial patellar retinaculum from its medial patellar margin, but fixation of the FT remained stable. In the CG, the mean maximum load to failure was 239.4\u2009\u00b1\u200954.5\u00a0N and was significantly different compared to the SG (<jats:italic>p<\/jats:italic>\u2009=\u20090.04). All reconstructions failed via pullout of the suture anchors. Stiffness and elongation did not differ between the groups, and no failure of the FT was observed in any of the specimens.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Primary stability of soft\u2010tissue MPFL\u2010R using FT was superior to suture\u2010anchor fixation. Both fixation techniques provided sufficient primary stability, superior to previously reported native MPFL tensile strengths. MPFL\u2010R with FT could be a possible alternative procedure for MPFL\u2010R, eliminating potential complications due to autologous tendon graft harvesting.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-022-07120-1","type":"journal-article","created":{"date-parts":[[2022,8,22]],"date-time":"2022-08-22T04:03:58Z","timestamp":1661141038000},"page":"292-298","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Soft\u2010tissue fixation is not inferior to suture\u2010anchor fixation in reconstruction of the medial patellofemoral ligament using a nonresorbable suture tape"],"prefix":"10.1002","volume":"31","author":[{"given":"Felix","family":"Zimmermann","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Berufsgenossenschaftliche Unfallklinik Ludwigshafen, BG Klinik Ludwigshafen Ludwig\u2010Guttmann\u2010Stra\u00dfe 13 67071 Ludwigshafen am Rhein 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Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-022-07120-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00167-022-07120-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-022-07120-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-022-07120-1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T08:52:55Z","timestamp":1760863975000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-022-07120-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,22]]},"references-count":49,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1007\/s00167-022-07120-1"],"URL":"https:\/\/doi.org\/10.1007\/s00167-022-07120-1","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,22]]},"assertion":[{"value":"16 May 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 August 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 August 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"PB, MS, and DDM declare that they have no competing interests. FZ, PAG, JF, and SV are members of the MINTOS research group, who had grants\/grants pending and technical support from Siemens Healthineers (Erlangen, Germany) and Nuvasive (SanDiego, USA). PAG and JF are unpaid members of an advisory board for Siemens. SJ receives research support from a company or supplier as a principal investigator: Johnson & Johnson DePuy, B. Braun Aesculap, Waldemar Link, Heraeus Medical, Zimmer Biomet, Peter Brehm GmbH, Ceramtec, Implantcast, Medacta, Mathys, Tornier. No company had involvement in the study design, collection, analysis, and interpretation of data, the writing of the manuscript, and the decision to submit the manuscript for publication.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Ethics approval was given by the local ethics committee (Reference no. 2021-15764_1-andere Forschung erstvotierend).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"No informed consent. Experimental study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}