2023 Annual Meeting Knee Access Pass-Medial Patellar Complex: Available Options and My Preferred Approach for Reconstruction

Medial Patellar Complex: Available Options and My Preferred Approach for Reconstruction

Video Transcription

Video Summary

Dr. Miho Tanaka discusses the medial patellar formal complex (MPFC), crucial for stabilizing lateral patellar translation. It comprises the MPFL and MQTFL with variable attachments but a consistent midpoint at the quadriceps tendon-patella junction. Accurate femoral tunnel placement is vital to avoid increased patellofemoral pressures. Reconstruction options include patellar or quadriceps fixation, with various graft choices, focusing on anatomic positioning to prevent complications like patella fractures. Dr. Tanaka prefers a single-bundle midpoint-to-midpoint technique, favoring MQTFL reconstruction, emphasizing proper tensioning at 60° knee flexion. Addressing anatomical risk factors and avoiding over-tightening are key to successful outcomes.

Asset Caption

Miho J. Tanaka, M.D., M.A.

Keywords

medial patellar formal complex

MPFL and MQTFL

femoral tunnel placement

patellofemoral pressure

MQTFL reconstruction