Knee Surgery Scars & Minimally Invasive Surgery

Something I often discuss with patients before surgery is how long their knee surgery scar is actually going to be. In residency and fellowship, we are taught that the size and appearance of the scar doesn’t really matter.
Treating Patellofemoral Arthritis & Patellar Instability

This study shows good results for treating concurrent patellofemoral arthritis and patellar instability for patellofemoral arthroplasty and MPFL reconstruction.
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 […]