AANA19 Knee Access Pass-Donnybrook_ MPFL is Not Done Enough-Dr. Annunziato Amendola, M.D.

Donnybrook_ MPFL is Not Done Enough-Dr. Annunziato Amendola, M.D.

Video Transcription

Video Summary

The speaker emphasizes the importance of NPFL (medial patellofemoral ligament) reconstruction as part of a comprehensive treatment for patellofemoral joint problems, which often involve instability and cartilage issues. They highlight the necessity of evaluating each case thoroughly, sometimes combining NPFL reconstruction with bony surgeries like tibial tubercle osteotomy, especially in cases with chronic dislocation or anatomical abnormalities. Proper anatomical placement and surgical technique, including using anchors instead of drilling holes in the patella to reduce fracture risk, are crucial. The speaker also describes their preferred two-incision technique and stresses that NPFL reconstruction should be included in patellar instability surgical strategies.

Keywords

NPFL reconstruction

patellofemoral joint

patellar instability

tibial tubercle osteotomy

surgical technique