All Things Patellofemoral: Cartilage, Trochleoplasty and More (2024 Annual Meeting)-All Things Patellofemoral: Cartilage, Trochleoplasty and More

Video Transcription

Video Summary

The video discusses patellar instability, emphasizing the importance of anatomic reconstructions for stabilization due to factors like soft tissue and bony restraints, along with alignment issues. Surgical treatments like MPFL and MQTFL reconstructions are used to address these deficiencies. Distal realignment surgeries examine coronal, rotational, and extensor mechanism alignment, as well as patellar height, with strategies to prevent complications during TTO procedures. Tailored approaches based on individual factors and continuous assessment during surgery are crucial. Cartilage repair and trochleoplasty procedures are highlighted for treating patellofemoral instability, with various surgical techniques explored, such as debridement, repair, mosaicplasty, osteochondral allografts, and MACI. Accurate diagnosis and proper treatment selection based on patient condition are essential, with case studies illustrating challenges and considerations. Staging surgeries, advanced techniques like Macy and OCA, and post-operative monitoring and follow-up are discussed. Patient outcomes and the need for ongoing research and refinement in treatment approaches are also addressed, underscoring the complexity and evolving nature of managing patellofemoral instability.

Asset Caption

Miho J. Tanaka, M.D., Ph.D., Moderator | Seth L. Sherman, M.D. | Sabrina M. Strickland, M.D. | Betina Hinckel, M.D., Ph.D.

Keywords

patellar instability

anatomic reconstructions

soft tissue

bony restraints

alignment issues

MPFL reconstruction

MQTFL reconstruction

distal realignment surgeries

coronal alignment

extensor mechanism alignment

patellar height