Medial patellofemoral ligament reconstruction: patient selection and perspectives
Medial patellofemoral ligament reconstruction: patient selection and perspectives
Blog Article
Grip Sensor Michael R.Baer, Jeffrey A.Macalena Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA Abstract: Patellofemoral instability is a painful and often recurring disorder with many negative long-term consequences.
After a period of failed nonoperative management, surgical intervention has been used to reduce the incidence of patellar subluxation and dislocations.Medial patellofemoral ligament (MPFL) reconstruction successfully addresses patellofemoral instability by restoring the deficient primary medial patellar soft tissue restraint.When planning MPFL reconstruction for instability, it is imperative to HAND SANITISER consider the patient’s unique anatomy including the tibial tuberosity–trochlear groove (TT–TG) distance, trochlear dysplasia, and patella alta.
Additionally, it is important to individualize surgical treatment in the skeletally immature, hypermobile, and athletic populations.Keywords: MPFL, indications, considerations, contraindications.