Question: Operative Report Left Patellar Instability MEOPERATIVE DIAGNOSIS: POSTOPERATIVE DIAGNOSIS: Left Patellar Instability Medial Patellofemoral Ligament Echo OPERATION PERFORMED: PREOPERATIVE INDICATIONS: This Is A 23-year-old Female With Boy Widergo Reconstruction Of The Medial Patellofemoral Ligament With Logo In Dinic. Workup Was Done That Showed Torn …

operative Report Left patellar instability MEOPERATIVE DIAGNOSIS: POSTOPERATIVE DIAGNOSIS: Left patellar instability Medial patellofemoral ligament echo OPERATION PERFORMED: PREOPERATIVE INDICATIONS: This is a 23-year-old female with boy widergo reconstruction of the medial patellofemoral ligament with logo in dinic. Workup was done that showed torn medialami were explained to the patient. All questions were swete PROCEDURE: Under general anesthesia, the left leg was prepped andre whalf and then whip-stitching the looped end and then keeping the two tilse This The patient received IV Ancef prior to start of surgery. Prior to these two 6.5 mm sizer and a little bit tight in the 6 mm sizer. This was then the The skin was then opened down to the MPF ligament on the lemon. The distal to the physis to make sure that the center was about 3 to 4 mm disclothes Once we had good placement, this was then drilled across the medialement de the notch. This was checked and then over-drilled with AP and lateral plane then Gewing of procedure er with under AP plane, making sure we were distal to the physis which we were At this point, a 2 to 3 cm longitudinal incision was made distal to the superior hal at the medial upeast the patella, down onto the medial patellar surface was exposed along the superior halt. This was there to get down to bleeding bone. At this point, two Bio-Suture Tak double loaded vachers were placed, une sa the midpoint and one about 7 to 8 mm proximal to this central in the bane, with position checked vendet kunne copy prior to drilling. The button double-loaded anchor was then placed und need to have good frunties. The graft was brought to the field and was passed from the midline out to medial passing the looped end One limbs of the suture was then passed through the Bio-Tenodesis eyelet and then the screw was placed dunking appena imately 10 to 15 mm of graft in the tunnel. Once the graft was noted to be docked into the tunnel, the sature in the eyelet was then tied to itself and suture ends were cut. with At this point, the free ends were then obtained. With the knee at 45 degrees of flexion, the patella was located so that the lateral edge of the patella was in line with the lateral femoral condyle. Then the superise suture was passed first, tensioned the graft to keep the patella in this position, riding along the lateral aspect of the femoral condyle. Then, in a horizontal mattress fashion the two tails were passed. They were tied down sequentially. This process was repeated again for the inferior anchor. The MPP incision was closed tuning 1