“…When the graft is prepared without a bone plug, fixation can also be performed with suture anchors. Although the use of interference screws was associated with a greater load to failure compared with the use of suture anchors in MPFL femoral fixation in biomechanical studies, 27 a systematic review 28 that evaluated the clinical outcomes of interference screws versus suture anchors for femoral fixation with a mean follow-up of 40 months concluded that there was no clinical difference regarding Kujala, 29 Lysholm, 30 and Tegner 31 scales. Therefore, the implant can be chosen according to the availability and surgeon’s preference.…”