Management of Patellofemoral Instability: Stabilization, Cartilage Restoration, Resurfacing, and Arthroplasty (AANA19)-MODERATOR_ Instructional Course Lecture_ Management of Patellofemoral Instability_ Stabilization, Cartilage Restoration, Resurfacing, and Arthroplasty-Dr. Laith M. Jazrawi, M.D.

MODERATOR_ Instructional Course Lecture_ Management of Patellofemoral Instability_ Stabilization, Cartilage Restoration, Resurfacing, and Arthroplasty-Dr. Laith M. Jazrawi, M.D.

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Video Transcription

Video Summary

The lecture focuses on managing patellofemoral instability in skeletally immature patients, emphasizing injury types, evaluation, and treatment strategies. Key points include differentiating syndromic cases requiring complex procedures from typical dislocations treated with MPFL reconstruction, which is the primary medial stabilizer of the patella. Non-operative care suits first-time dislocators without complications; surgery is reserved for recurrent dislocators, osteochondral fractures, or alignment issues. Techniques to avoid growth plate injury and patella fracture during reconstruction are detailed. Consideration of anatomical factors like alignment, TT-TG distance, trochlear dysplasia, and ligament laxity is critical for treatment planning, including possible guided growth procedures.

Asset Caption

Instructional Course Lecture: Management of Patellofemoral Instability: Stabilization, Cartilage Restoration, Resurfacing, and Arthroplasty

Keywords

patellofemoral instability

skeletally immature patients

MPFL reconstruction

non-operative care

guided growth procedures