2023 Annual Meeting Knee Access Pass-Opinion: The MPFL Is Enough! Leave the Hardware Alone

Opinion: The MPFL Is Enough! Leave the Hardware Alone

Video Transcription

Video Summary

Beth Schubenstein discussed treatment approaches for a 19-year-old female with recurrent patella dislocation and specific anatomical risk factors. She emphasized that isolated MPFL reconstruction often suffices unless significant bone malalignment or other risk factors like high TTTG, trochlear dysplasia, or cartilage lesions exist. In such cases, additional bony procedures may be necessary. Current literature lacks clear thresholds predicting MPFL failure, prompting ongoing research, including the Jupiter study, aiming to identify which patients require isolated MPFL versus combined surgeries. Schubenstein highlighted improved surgical outcomes over time but stressed the need for better predictive tools to guide treatment decisions.

Asset Caption

Beth Shubin Stein, M.D.

Keywords

MPFL reconstruction

patella dislocation

anatomical risk factors

bony procedures

Jupiter study