AJSM Webinar Series: From Bench to Bedside and Beyond: Medial Patellofemoral Complex (MPFC) Reconstruction in the Treatment of Patellar Instability-AJSM Webinar Series: From Bench to Bedside and Beyond: Medial Patellofemoral Complex (MPFC) Reconstruction in the Treatment of Patellar Instability

AJSM Webinar Series: From Bench to Bedside and Beyond: Medial Patellofemoral Complex (MPFC) Reconstruction in the Treatment of Patellar Instability

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Video Summary

The American Journal of Sports Medicine's recent webinar focused on advancements in treating patellar instability, particularly involving the medial patella femoral complex (MPFC). Dr. Miho Tanaka hosted the session, accompanied by distinguished guests Dr. Peter Fabrikant, Dr. Beth Schubenstein, Dr. Elizabeth Dennis, and Dr. David Dujour. The primary discussion revolved around the variability in treatment methods for patellar instability, emphasizing the medial patella femoral ligament (MPFL) reconstruction.<br /><br />Dr. Fabrikant presented his biomechanical study comparing different MPFC reconstruction techniques using cadaveric models, indicating no significant difference among techniques. Drs. Schubenstein and Dennis shared findings from a clinical study on isolated MPFL reconstruction, highlighting its effectiveness in treating recurrent patellar instability, while also identifying factors that may require additional bony procedures. Dr. Dujour discussed long-term results of trochleoplasty combined with MPFL reconstruction, sharing insights into preventing maltracking in patients with severe trochlear dysplasia.<br /><br />The panelists emphasized the importance of tailoring treatments to individual anatomical differences, particularly the decision to perform isolated soft tissue reconstructions versus adding bony procedures like tibial tubercle osteotomy (TTO) or trochleoplasty. They also discussed the role of lateral release or lengthening procedures, specifying their techniques and rationales behind surgical choices.<br /><br />In conclusion, the webinar highlighted the ongoing evolution in the understanding and treatment of patellar instability, stressing the need for precise anatomical assessment and patient-specific treatment planning.

Keywords

patellar instability

medial patella femoral complex

MPFC

MPFL reconstruction

biomechanical study

trochleoplasty

tibial tubercle osteotomy

anatomical differences

surgical techniques

patient-specific treatment