2021 Annual Meeting Pediatrics Access Pass-Special Considerations for MPFL with Open Growth Plates

Video Transcription

Video Summary

In this video, the presenter discusses implant-mediated guided growth and the importance of recognizing valgus in children who need MPFL (Medial Patellofemoral Ligament) reconstruction. They emphasize the need for a thorough workup when considering patellar realignment surgery, including long leg x-rays and standing alignment x-rays. The presenter also discusses the zone of injury in MPFL tears, noting that younger children tend to experience tears near the patella while older children tend to have tears off the femur insertion. They advocate for MPFL reconstruction instead of repair due to these differences in injury location. The video also covers the relationship between the MPFL and the growth plate, highlighting the importance of positioning the insertion close to the physis. Various techniques for MPFL reconstruction are mentioned, including hamstring autograft and alternative options such as distal quad tendon or adductor tendon insertion. Growth arrest after MPFL surgery is acknowledged as a potential complication, but the presenter emphasizes that it can be done safely with proper technique and careful imaging evaluation. Multiple options for obtaining collagen for reconstruction are mentioned. Overall, the presenter emphasizes the importance of following anatomical principles and proper technique to achieve good outcomes in MPFL reconstructions.

Asset Caption

Dr. Daniel Green

Keywords

implant-mediated guided growth

valgus in children

MPFL reconstruction

patellar realignment surgery

MPFL tears