AOSSM 2022 Annual Meeting Recordings - no 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

In this video summary, the speaker discusses patellar dislocation, a common injury among young athletes, particularly females. While non-operative management is the standard of care for most patients, certain high-risk individuals may experience recurrent instability and require surgical intervention. The speaker compares the long-term clinical outcomes, complications, and failure rates of isolated medial patellofemoral ligament (MPFL) repair versus reconstruction for recurrent lateral patellar instability. A retrospective single-institution investigation was conducted, including 29 knees with MPFL repair and 29 knees with MPFL reconstruction. The study finds that MPFL reconstruction had a lower failure rate (14%) compared to MPFL repair (41%), and increasing age at the time of surgery was associated with an increased risk of failure. The study acknowledges limitations, such as its non-randomized nature and small sample size, but overall suggests that MPFL reconstruction may yield favorable outcomes.

Asset Caption

Bradley Kruckeberg, MD

Keywords

patellar dislocation

MPFL repair

MPFL reconstruction

recurrent instability

clinical outcomes