Patellar realignment procedures for lateral patellar instability often invo
lve open approaches to imbricate the medial soft tissues. We present a tech
nique to balance the soft tissues to correct lateral patellar instability t
hat is performed entirely arthroscopically. A retinacular release is perfor
med laterally and the soft tissues are imbricated medially using arthroscop
ic suture passing and knot tying techniques.