Medial patellofemoral ligament reconstruction: Patient selection and perspectives

Michael R. Baer, Jeffrey A. Macalena

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Patellofemoral instability is a painful and often recurring disorder with many negative long-term consequences. After a period of failed nonoperative management, surgical intervention has been used to reduce the incidence of patellar subluxation and dislocations. Medial patellofemoral ligament (MPFL) reconstruction successfully addresses patellofemoral instability by restoring the deficient primary medial patellar soft tissue restraint. When planning MPFL reconstruction for instability, it is imperative to consider the patient’s unique anatomy including the tibial tuberosity-trochlear groove (TT-TG) distance, trochlear dysplasia, and patella alta. Additionally, it is important to individualize surgical treatment in the skeletally immature, hypermobile, and athletic populations.

Original languageEnglish (US)
Pages (from-to)83-91
Number of pages9
JournalOrthopedic Research and Reviews
Volume9
DOIs
StatePublished - Sep 7 2017

Bibliographical note

Publisher Copyright:
© 2017 Baer and Macalena.

Keywords

  • Considerations
  • Contraindications
  • Indications
  • MPFL

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