So, You’ve Mastered MPFL Reconstruction: What Else to Add, and When? (2021 Annual Meeting)-So You’ve Mastered MPFL Reconstruction: What Else to Add, and When?-Cosgarea

So You’ve Mastered MPFL Reconstruction: What Else to Add, and When?-Cosgarea

Video Transcription

Video Summary

In this video, the speaker discusses the various options for stabilizing the patella, focusing on the use of MPFL reconstruction or soft tissue procedures. They explain that there has been a shift in the literature towards an interest in trochleoplasty for patellar stabilization. The speaker emphasizes the importance of considering the risk factors for recurrent dislocation and failure of MPFL reconstruction, including patella alta. They discuss studies that have shown the benefits of combining MPFL reconstruction with osteotomy for patients with lateralized tuberosity and borderline increased lateralized tuberosity. The speaker also explores the factors that contribute to maltracking and imbalance in the patellofemoral joint, and the role of patellar height, trochlear dysplasia, and tuberosity position in determining the need for osteotomy. They present research on the correlation between tracking abnormalities and these anatomical factors, and the difficulty in achieving proper tensioning with MPFL reconstruction in patients with patella alta. The speaker concludes by discussing different methods of osteotomy, potential complications, and the importance of closely monitoring patients post-operation. Overall, the video provides insights into the current understanding and approaches to stabilizing the patella.

Asset Caption

Dr. Andrew Cosgarea

Keywords

patella stabilization

MPFL reconstruction

trochleoplasty

recurrent dislocation

patella alta