VIDEO: Speaker advises MPFL reconstruction for first-time patellar instability
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Key takeaways:
- Patellar instability most commonly affects skeletally immature pediatric patients with open growth plates.
- Medial patellofemoral ligament reconstruction is designed to reproduce the normal anatomy.
NEW ORLEANS — Medial patellofemoral ligament reconstruction should be the primary treatment for first-time patellar instability in skeletally immature patients, despite historical use of the adductor sling technique, a presenter said.
“Whenever addressing a kid with patellar instability, you have to look at all factors, including the way the patellar tracks, the alignment, the rotation and the dysplasia of both the patella and the trochlea,” Henry B. Ellis Jr., MD, of Scottish Rite for Children, told Healio. “When all things are considered, sometimes you choose a bony procedure, but a ligament reconstruction of the medial patellofemoral ligament, which we call the MPFL, is the workhorse and primary treatment for first-time patellar instability. The technique itself is designed to reproduce the normal anatomy.”
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Ellis HB Jr. Patella instability: Physeal-sparing reconstruction vs. adductor sling technique? Presented at: Arthroscopy Association of North America Annual Meeting; May 4-6, 2023; New Orleans.
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