2024 AANA/ISAKOS Specialty Day All-Access Pass-Debate Speaker #1: Primary MPFL Repair

Video Transcription

Video Summary

The video discusses the management of a first-time patella dislocation in a 15-year-old patient with minimal risk factors. It highlights the importance of individualized treatment, especially for high-level athletes with potential cartilage lesions. The speaker argues for a surgical repair of the medial patellofemoral ligament (MPFL) in certain cases, citing research studies showing lower re-dislocation rates and better outcomes compared to conservative care. Factors like age, bony avulsions, and tear patterns influence the treatment approach. A meta-analysis comparing repair versus conservative care supports the efficacy of MPFL repair in reducing re-dislocations. Overall, the decision to opt for surgery should consider the patient's unique circumstances and future athletic goals.

Asset Caption

Cory Edgar, M.D., Ph.D.

Keywords

patella dislocation

MPFL repair

surgical treatment

re-dislocation rates

athletic injuries