AANA19 Knee Access Pass-My Approach to Patella Instability-Dr. Sabrina M. Strickland, M.D.

My Approach to Patella Instability-Dr. Sabrina M. Strickland, M.D.

Video Transcription

Video Summary

The speaker discusses evolving approaches to patellar instability, emphasizing earlier surgical intervention, especially for first-time dislocators with cartilage or trochlear defects. Modern treatment combines stabilizing procedures like MPFL reconstruction with realignment surgeries such as tibial tubercle osteotomy (TTO) and trochleoplasty, tailored based on MRI scoring predicting re-dislocation risk. Proper surgical technique and patient selection are critical, as improper graft placement or ignoring malalignment leads to failures. Rehabilitation is cautious and slow. Overall, a comprehensive approach addressing both instability and cartilage damage improves outcomes, advocating more proactive surgery to prevent long-term complications.

Keywords

patellar instability

MPFL reconstruction

tibial tubercle osteotomy

trochleoplasty

early surgical intervention