2022 AOSSM Annual Meeting Recordings with CME-MPFL Repair has a Higher Failure Rate at Long-term Follow-up compared to MPFL Reconstruction for Recurrent Patellar Instability

MPFL Repair has a Higher Failure Rate at Long-term Follow-up compared to MPFL Reconstruction for Recurrent Patellar Instability

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Video Transcription

Video Summary

This transcript summarizes a video presentation on patellar dislocation, a common injury in young athletes, especially females. The speaker discusses the standard non-operative management for most patients but highlights increased rates of recurrent instability and MPFL (medial patellofemoral ligament) disruption in high-risk individuals. Multiple surgical techniques have been described, but MPFL reconstruction is favored for its superior outcomes and lower failure rates. The presentation presents the findings of a retrospective investigation comparing isolated MPFL repair and reconstruction. The study concludes that while both techniques had similar clinical outcomes, return-to-play rates, complications, and re-operations, MPFL reconstruction had a significantly lower failure rate (14% compared to 41% for repair). Age at the time of surgery and surgical technique were identified as potential factors influencing failure rates. The presentation acknowledges limitations including selection bias, a small sample size, and variations in rehabilitation protocols.

Asset Caption

Bradley Kruckeberg, MD

Keywords

patellar dislocation

non-operative management

recurrent instability

MPFL reconstruction

failure rate