MPFL reconstruction

MPFL Reconstruction

 1.  MPFL reconstruction

 

Indication

- patient with history initial traumatic dislocation

- also indicated in patient with laxity to act as a check rein

 

Grafts

 

1.  Y Graft

- double ST autograft into Y

 

2.  Single limb free semitendinosus autograft

- limb to patella via endobutton

 

Management

Non-operativePatella Instability MPFL and TTT AP

 

Results

 

90% respond 

- very important

- 6 - 12 months minimum before offering surgery

 

Physiotherapy

 

1.  Stretches

- quads stretches

- ITB

- lateral retinaculum