APEX Optimizing Surgical Outcomes for Knee & Shoulder Arthroscopy-Track 1: Optimizing Patellar Instability: Lateral Release, Arthroscopic Reefing, MPFL

Track 1: Optimizing Patellar Instability: Lateral Release, Arthroscopic Reefing, MPFL

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