2023 Annual Meeting Knee Access Pass-Patella Instability: Physeal-Sparing Reconstruction vs. Adductor Sling Technique?

Patella Instability: Physeal-Sparing Reconstruction vs. Adductor Sling Technique?

Video Transcription

Video Summary

Dr. Henry Ellis discusses patellar instability in pediatric patients, emphasizing anatomy and surgical options. He compares medial patellofemoral ligament (MPFL) reconstruction to the adductor sling, favoring MPFL reconstruction in skeletally immature patients due to better anatomical alignment and lower failure rates. He highlights surgical technique details such as anchor placement distal to the physis, using fluoroscopy to ensure proper tension, and the importance of avoiding damage to growth plates. Ellis notes that soft tissue procedures are effective but may be insufficient in cases with severe deformities like trochlear dysplasia or high femoral anteversion, where osteotomy may be indicated.

Asset Caption

Henry B. Ellis Jr., M.D.

Keywords

patellar instability

pediatric orthopedics

MPFL reconstruction

adductor sling

trochlear dysplasia