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APEX Optimizing Surgical Outcomes for Knee & Shoul ...
Track 1: Optimizing Patellar Instability: Lateral ...
Track 1: Optimizing Patellar Instability: Lateral Release, Arthroscopic Reefing, MPFL
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Video Transcription
Video Summary
Dr. Jesús Ignacio Cardona Medina discusses techniques for addressing patellofemoral instability, which is a notable cause of traumatic osteoarthritis, particularly affecting young athletes. This condition often results from trauma causing medial peripatellar disruption, with a recurrence rate notably high in individuals with certain predispositions, such as trochlear dysplasia or ligamentous hyperlaxity. Initial assessment involves evaluating physical alignment and may include X-rays, tomography, and MRI to identify structural issues. Treatment strategy can range from non-surgical options like physical therapy to surgical interventions such as Fulkerson osteotomy or medial patellofemoral ligament reconstruction. These decisions are tailored based on the patient's specific conditions, considering factors like growth plate status in adolescents. Dr. Cardona emphasizes customizing treatment plans to patient needs, while ensuring stability and alignment for better outcomes and patient satisfaction.
Asset Caption
Faculty: Jesus Ignacio Cardona-Medina, M.D.
Keywords
patellofemoral instability
traumatic osteoarthritis
trochlear dysplasia
Fulkerson osteotomy
medial patellofemoral ligament reconstruction
ligamentous hyperlaxity
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