Course Lecture Pearls: Patellofemoral Joint Preservation-Recurrent Patella Instability – What to Choose and When-Dr. Marc Tompkins

Recurrent Patella Instability – What to Choose and When-Dr. Marc Tompkins

Video Transcription

Video Summary

Mark Tompkins discusses recurrent patella instability, emphasizing its complex biomechanics involving multiple planes of motion and dynamic stabilizers. He highlights the importance of physical therapy pre- and post-operation to correct faulty mechanics and deconditioning. Key anatomical risk factors include patella alta and trochlear dysplasia, often addressed surgically through tibial tubercle distalization, patellar tendon shortening, or trochleoplasty. Issues like extensor mechanism malalignment, valgus, and rotational malalignment may require osteotomies. Management also involves correcting patellar tilt and rebuilding medial soft tissues. Tompkins stresses individualized treatment, thorough patient education, and long-term follow-up, noting ongoing multi-center studies aim to optimize intervention timing and prioritization.

Keywords

recurrent patella instability

biomechanics

physical therapy

surgical interventions

patient education