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?-Farr

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

Video Transcription

Video Summary

The speaker discusses approaches to patellar tuberosity surgery, emphasizing evolving understanding of measurements like TT-TG and TTPCL for decision-making. Initially lacking data, now surgeons consider rotational alignment, femoral version, and limb mechanics comprehensively, avoiding over-reliance on a single metric. They highlight assessing whole limb, including hip rotation and valgus alignment, and balancing soft tissues. The goal is precise correction—medialization typically under 10 mm—to optimize patellar tracking without overcorrection. Surgical technique details, healing concerns, and imaging methods (MRI preferred for congruity) are shared. Overall, the focus is individualized, minimal yet effective intervention based on thorough biomechanical assessment.

Asset Caption

Dr. Jack Farr II

Keywords

patellar tuberosity surgery

TT-TG measurement

rotational alignment

medialization correction

MRI imaging