Understanding Patellofemoral (Kneecap) Instability and Pain
In this short video I explain what patellofemoral instability is, what causes pain, how it feels, why it happens, and how it can be fixed.
Two Fixation Points Are Better for Medial Patellofemoral Ligament Reconstruction
Medial patellofemoral ligament reconstruction has gained in popularity over the past 15 years, with most studies showing a clear advantage over techniques such as medial patellofemoral ligament (MPFL) repair or medial imbrication for the treatment of patellar instability. A debate continues as to the type of fixation on the patella, tunnel versus suture anchor, as […]
MPFL Reconstruction & Tibial Tubercle Osteotomy
Joe’s dislocated his patella skiing. In this short video I walk through his injury and recovery after an MPFL reconstruction and tibial tubercle osteotomy surgery.
Editorial Commentary: Two Fixation Points Are Better for MPFL Reconstruction
Medial patellofemoral ligament (MPFL) reconstruction has gained in popularity over the past 15 years, with most studies showing a clear advantage over techniques such as MPFL repair or medial imbrication for the treatment of patellar instability. A debate continues as to the type of fixation on the patella, tunnel versus suture anchor, as well as […]
MPFL Reconstruction Study and Follow Up
Beware of studies like this one about MPFL reconstruction that only have one year of follow-up. In this small study of only 43 patients who underwent MPFL reconstruction (some bilateral) with a strong suture, they demonstrated that most patients were stable at a year. We know that most patients are just resuming pivoting sports at […]
Paulette Gangemi: Back in the Game – Patella Dislocation
I have had a lifetime of knee problems starting with a patella dislocation at age 14. In spite of repeated dislocations and unsuccessful surgeries I still managed to ski race in college in Vermont, Rock Climb, Backpack and competitive cycle and mountain bike. Recently in the past 5 years, as I approached 40 years old […]
Study: combined reconstruction for patellar instability may be more anatomic
A new study from researchers in Portugal describe yet another procedure to treat patellar instability. Instead of a two arm ligament reconstruction, they describe a four arm reconstruction — which could have some advantages.