AANA19 Knee Access Pass-Master Series_ MQTFL Reconstruction-Dr. John P. Fulkerson, M.D.

Master Series_ MQTFL Reconstruction-Dr. John P. Fulkerson, M.D.

Video Transcription

Video Summary

The speaker discusses optimal alignment and unloading articular lesions in patellar instability treatment, emphasizing the role of tibial tubercle transfer when appropriate. They highlight the complex medial patellofemoral anatomy, focusing on the MPFL and MQTFL structures, based on extensive dissections by Miho Tanaka and others. Accurate femoral fixation using anatomical landmarks, especially the adductor tubercle and longus tendon, is crucial to avoid complications like patella fractures. The speaker advocates MQTFL reconstruction as a less invasive, safer alternative, stressing precise anatomy over radiographic guidance. Early mobilization, gradual weight-bearing, and physical therapy lead to consistent, positive outcomes in young patients.

Keywords

patellar instability

tibial tubercle transfer

medial patellofemoral ligament (MPFL)

medial quadriceps tendon femoral ligament (MQTFL)

femoral fixation anatomy