AANA Knee Arthroscopy - September 2024-MPFL Reconstruction

Video Transcription

Video Summary

Philip Shetliff presents an overview of Medial Patellofemoral Ligament (MPFL) reconstruction, emphasizing anatomy, indications, and surgical techniques. The MPFL is crucial for stabilizing the patella against lateral displacement, particularly from 0 to 30 degrees of knee flexion. Proper diagnosis includes clinical exams and MRI. Ideal candidates have instability in early flexion without significant bony abnormalities. Reconstruction techniques evolved from open procedures to minimally invasive, anatomical double-bundle methods using autografts like gracilis tendon. Key surgical success factors include precise femoral insertion to avoid complications. Revision cases often stem from surgical errors or unaddressed comorbidities. New methods and implants aim to improve outcomes, especially in young patients.

Asset Caption

Dr. Philip Schoettle

Keywords

Medial Patellofemoral Ligament

MPFL reconstruction

knee instability

surgical techniques

autograft gracilis tendon