Advanced Concepts in Patellofemoral Surgery (AANA22)-MPFL Reconstruction

Video Transcription

Video Summary

This lecture focuses on medial patellofemoral ligament (MPFL) reconstruction for patella instability. The speaker reviews anatomy, emphasizing the complex MPFL attachments and the critical femoral origin for graft isometry. Various reconstruction techniques and graft choices are discussed, including using quadriceps or adductor tendons and strategies for skeletally immature patients respecting the growth plate. Intraoperative fluoroscopy and tensioning techniques to ensure graft isometry and avoid over-constraint are highlighted. Over-tightening risks are cautioned against, as MPFL surgery alone does not fully correct patellar tracking if severe malalignment exists. Additional procedures may be necessary for complex cases.

Asset Caption

Jacqueline Brady, M.D.

Keywords

medial patellofemoral ligament reconstruction

patella instability

graft isometry

skeletally immature patients

intraoperative fluoroscopy