2021 Annual Meeting Pediatrics Access Pass-Special Considerations for MPFL with Open Growth Plates

Special Considerations for MPFL with Open Growth Plates

Video Transcription

Video Summary

The presentation discussed implant-mediated guided growth for correcting valgus deformities in children needing MPFL reconstruction. It emphasized assessing malalignment via long-leg standing x-rays before patellar realignment surgery. The MPFL injury zone differs by age, with younger children more often torn near the patella and adults near the femur, influencing treatment choice toward reconstruction rather than repair. The MPFL insertion is typically just distal to the distal femoral growth plate, necessitating precise surgical technique using AP and lateral x-rays to avoid growth plate damage. Various reconstruction options include hamstring grafts, MQTFL, adductor tendon, and quadriceps tendon techniques, tailored to patient anatomy.

Asset Caption

Dr. Daniel Green

Keywords

implant-mediated guided growth

valgus deformities

MPFL reconstruction

patellar realignment

surgical techniques