So, You’ve Mastered MPFL Reconstruction: What Else to Add, and When? (2021 Annual Meeting)-So You’ve Mastered MPFL Reconstruction: What Else to Add, and When?-Cosgarea

So You’ve Mastered MPFL Reconstruction: What Else to Add, and When?-Cosgarea

Video Transcription

Video Summary

The presentation discusses patellar instability management, emphasizing medial patellofemoral ligament (MPFL) reconstruction as the primary soft tissue procedure to stabilize the patella. However, it highlights when additional osteotomies, such as tuberosity osteotomy or trochleoplasty, are necessary for patients with anatomical abnormalities like patella alta. Patella alta, especially when combined with a lateralized tuberosity, significantly influences patellar tracking and instability risk. The speaker stresses the importance of individualized treatment plans based on detailed measurements, including patellar height index and sagittal engagement, to determine if distalization or realignment osteotomies are needed. Outcomes show good sports return rates post-surgery but indicate longer recovery and higher complication risks with combined procedures. Overall, MPFL reconstruction stabilizes, while osteotomies aim to realign. Careful assessment and tailored surgical approaches optimize outcomes for recurrent patellar dislocations.

Asset Caption

Dr. Andrew Cosgarea

Keywords

patellar instability

MPFL reconstruction

patella alta

osteotomy

patellar tracking