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MPFL reconstruction: technique and results.

Jeffrey Reagan1, Raj Kullar1, Robert Burks1

  • 1Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.

The Orthopedic Clinics of North America
|December 2, 2014
PubMed
Summary
This summary is machine-generated.

Patellar instability often involves medial patellofemoral ligament (MPFL) injury. MPFL reconstruction is an option for recurrent instability when nonoperative treatments fail, potentially combined with other realignment procedures.

Keywords:
Medial patellofemoral ligamentPatellar dislocationPatellar instability

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Knee Surgery

Background:

  • Patellar instability is a prevalent condition.
  • Medial patellofemoral ligament (MPFL) injury frequently accompanies traumatic patellar dislocations.
  • Initial management focuses on nonoperative rehabilitation to strengthen patellar stabilizers.

Purpose of the Study:

  • To outline a technique for medial patellofemoral ligament (MPFL) reconstruction.
  • To identify indications for MPFL reconstruction in cases of recurrent patellar instability.
  • To discuss the potential combination of MPFL reconstruction with other patellar realignment procedures.

Main Methods:

  • Focus on nonoperative management including reconditioning and strengthening exercises.
  • Surgical intervention via MPFL reconstruction for persistent instability.
  • Description of a specific MPFL reconstruction technique.
  • Consideration of concurrent realignment procedures.

Main Results:

  • MPFL reconstruction is indicated for recurrent patellar instability due to insufficient medial restraint from MPFL injury.
  • The described technique provides a method for addressing MPFL insufficiency.
  • The procedure can be integrated with other corrective surgeries.

Conclusions:

  • MPFL reconstruction is a viable surgical option for patients with recurrent patellar instability and MPFL injury.
  • This technique addresses the need for medial patellar restraint.
  • Combined procedures may enhance outcomes in complex cases.