Schuttler KF, et al. - Authors evaluated the phenomenon of tunnel widening or tunnel enlargement after medial patellofemoral ligament (MPFL) reconstruction. At the time of surgery, the mean age was 22.6 ± 8.5 years. Findings suggested a connection between the tunnel enlargement after MPFL reconstruction with a free gracilis tendon graft and mechanical overload due to a proximal malposition of the femoral tunnel. They noted that clinical outcomes were not influenced by this as patients with tunnel enlargement showed better Kujala and IKDC scores.