A curvilinear incision begins 2 cm proximal to the adductor tubercle and extends antero-inferiorly along the antero-medial tibia to 6 cm distal to the joint line.
The femoral attachment of the MPFL is approximately 10.6 mm proximal and 8.8 mm posterior to the medial epicondyle and 1.9 mm anterior and 3.8 mm distal to the adductor tubercle. AT = adductor tubercle, ME = medial epicondyle, AMT = adductor magnus tendon, POL = posterior oblique ligament, GT = gastrocnemius tubercle, MGT = medial gastrocnemius tendon, and sMCL = superficial medial collateral ligament.