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AANA Knee Arthroscopy - September 2024
Complications of MPFL Surgery
Complications of MPFL Surgery
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Video Transcription
Video Summary
This talk addresses complications in medial patellofemoral ligament (MPFL) reconstruction, emphasizing avoidance strategies. Key issues include re-dislocation, fractures, patellar bone loss, arthritis from maltracking, and medial subluxation, often caused by improper patient selection, tunnel placement, or graft tension. Avoid MPFL alone if TT-TG distance exceeds 15-20 mm or in patella alta; consider osteotomies and ensure graft is isometric. Use small anchors and avoid excessive lateral release. For femoral tunnel placement, palpate first, check isometry, then confirm with fluoroscopy. Careful technique and patient selection prevent failure, bone loss, and joint arthritis, improving long-term outcomes.
Asset Caption
Dr. Sabrina Strickland
Keywords
MPFL reconstruction
complications
patellar instability
surgical technique
patient selection
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