Medial Patellofemoral Ligament Reconstruction Using Gracilis With Pes Anserinus Preservation and Adductor Magnus Pulley
Alexandre Coelho, Sergi Gil‐González, Giovanni Grillo, Patrícia Martínez‐Grau, Xavier Pelfort · 2026
Read Medial Patellofemoral Ligament Reconstruction Using Gracilis With Pes Anserinus Preservation and Adductor Magnus Pulley by Alexandre Coelho, Sergi Gil‐González, Giovanni Grillo, Patrícia Martínez‐Grau, Xavier Pelfort (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13427047.txt.
Description
Coelho and colleagues describe a 2026 surgical technique for rebuilding the medial patellofemoral ligament. That band keeps the kneecap from slipping sideways, a common problem in young active patients. Their approach uses the patient's own gracilis tendon but leaves its lower attachment in place, preserving the graft's blood supply.
The graft is routed behind the adductor magnus tendon, which acts as a pulley copying the ligament's natural path on the thigh bone. That trick avoids drilling a tunnel in the thigh bone and needs no implants. At the kneecap, the graft is fixed through two converging bone tunnels with high-strength sutures. The authors present the method as less invasive and biologically favorable, especially for patients whose bones are still growing and cannot tolerate large tunnels or hardware.
Catalog record
| CREATOR | Alexandre Coelho, Sergi Gil‐González, Giovanni Grillo, Patrícia Martínez‐Grau, Xavier Pelfort |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 22 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |