2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Speaker #1: Primary MPFL Repair

Video Transcription

Video Summary

The speaker discusses management of first-time patella dislocations, especially in young, skeletally immature athletes with bony avulsions. While conservative care is often recommended due to low traditional risk factors, the speaker argues that collision athletes may benefit from primary MPFL repair due to high re-dislocation risk and cartilage damage. Research shows mixed outcomes; acute repair, especially of femoral avulsions common in younger patients, tends to have lower re-dislocation rates (7%) compared to conservative care (30%). The speaker favors early surgical repair in high-demand athletes to reduce recurrence and improve outcomes, citing limitations in existing studies and emphasizing individualized treatment decisions.

Asset Caption

Cory Edgar, M.D., Ph.D.

Keywords

first-time patella dislocation

skeletally immature athletes

MPFL repair

re-dislocation risk

conservative vs surgical treatment