So You’ve Mastered MPFL Reconstruction: What Else to Add, and When? (AANA22)-Patella Alta and Distalizing Tibial Tuberosity Osteotomy

Video Transcription

Video Summary

In this video, Dr. Andy Pasgaria from Johns Hopkins speaks about patella alta and distalizing tuberosity osteotomy. He starts by presenting a case of a 16-year-old recreational athlete with patella alta and irritation under her patella. He discusses the radiographic findings and notes the patient's main problem is soft tissue insufficiency along with substantial patella alta. He explains the surgical approach, which includes an MPFL reconstruction and a tuberosity osteotomy to address the malalignment. Dr. Pasgaria emphasizes the importance of individualized treatment and the need to measure and quantify factors like patella engagement. He also provides information on outcomes and return to sport rates for patients undergoing combined MPFL reconstruction and tuberosity osteotomy. He mentions potential complications, such as delayed healing, and advises caution when performing the osteotomy. Dr. Pasgaria concludes by emphasizing the need to identify patients at higher risk for failure in isolated MPFL reconstruction and to consider adding an osteotomy to decrease the risk of recurrent instability.

Asset Caption

Andrew J. Cosgarea, M.D.

Keywords

patella alta

distalizing tuberosity osteotomy

soft tissue insufficiency

MPFL reconstruction

malalignment

return to sport rates