AANA19 Knee Access Pass-My Approach to Patella Instability-Dr. Sabrina M. Strickland, M.D.

Video Transcription

Video Summary

In the video, the speaker discusses their approach to treating patellar instability. They mention that the number of surgeries for this condition has increased over the years, with more consideration given to operating on first-time dislocators or patients with specific defects. The speaker emphasizes the importance of assessing radiographs and MRI scans to determine the risk of re-dislocation. They also discuss the use of various techniques, such as MPFL, TTO, and MQTFL, for stabilizing the patella. The speaker highlights the need to address both cartilage injuries and instability, suggesting osteotomy as an important step. They also touch on the use of allografts, suture anchors, and tunnels during surgery. The speaker warns against incorrect placement of screws and emphasizes the importance of optimizing patellar tracking. They mention criteria for considering tibial tubercle osteotomy and highlight the potential complications associated with improper surgeries. The speaker advocates for distalization and anteromedialization to address attachment issues. They discuss the need to differentiate between pain and instability and suggest various surgical approaches, including cartilage repair and trochleoplasty. The importance of careful patient management during rehabilitation is also mentioned. The speaker concludes by highlighting the need for more aggressive surgical intervention based on the improved ability to predict recurrence.

Asset Caption

Concurrent Scientific Session I: Symposium - Patella Challenges and Treatments 5.4.2019

Keywords

patellar instability

surgical approaches

osteotomy

cartilage injuries

recurrence