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.