Patellofemoral joint instability is a common knee joint injury,mainly observed in young patients,significantly impacting their daily life and mobility.The medial patellofemoral ligament(MPFL)is the primary stabilizing structure on the medial side of the patella,restricting lateral dislocation.It is inevitably damaged when patellar instability occurs.Therefore,MPFL reconstruction is a necessary measure to restore patellar stability.Despite being a long-standing procedure,there is still controversy over specific surgical details influencing the efficacy,such as the positioning of the femoral and patellar tunnels,choice of graft material,graft fixation angles,and graft tension selection.In recent years,ongoing biomechanical and clinical research has provided reliable evidence for optimizing the procedure.In this article,the author reviewed the recent advances in research on MPFL reconstruction.