AANA19 Knee Access Pass-Master Series_ My Approach to First Time Patella Dislocators-Dr. Jack Farr, M.D.

Master Series_ My Approach to First Time Patella Dislocators-Dr. Jack Farr, M.D.

Video Transcription

Video Summary

The speaker discusses evolving approaches to first-time patellar dislocation treatment. Historically managed conservatively unless there's an osteochondral fragment, recent studies show tailored repairs can reduce recurrence, especially when guided by MRI-identified injury sites. Risk factors include age under 25, trochlear dysplasia, patellar alta, and open growth plates. The Mayo Clinic's RIP score predicts recurrence risk over 10 years, aiding decisions between conservative, repair, or reconstruction treatments. High RIP scores indicate surgical reconstruction; low scores often mean conservative care. The speaker’s algorithm personalizes treatment based on injury energy, risk factors, and patient-specific anatomy, emphasizing patient involvement in decisions.

Keywords

patellar dislocation

RIP score

MRI-guided repair

risk factors

treatment algorithm