IC 102-2022: Patellofemoral Instability From Simple to Complex: How to Get it Right-Patellofemoral Instability From Simple to Complex: How to Get it Right (5/6)

Patellofemoral Instability From Simple to Complex: How to Get it Right (5/6)

Video Transcription

Video Summary

In this video, Dr. Jackie Breede discusses a case of a 15-year-old patient with instability in her right knee. The patient had multiple episodes of dislocation and had previously undergone physical therapy and a steroid injection without improvement. On examination and imaging, it was determined that the patient had ligamentous laxity and mild trochlear dysplasia. The options for treatment discussed include lateral release or lengthening, medial retinacular imbrication, VMO advancement, MPFL repair or reconstruction, and tibial tubercle osteotomy. The preferred treatment was MPFL reconstruction, and Dr. Breede discussed the fixation points, isometry, and considerations for performing the procedure in a growing patient.

Asset Caption

Jacqueline Brady, MD

Keywords

Dr. Jackie Breede

15-year-old patient

right knee instability

ligamentous laxity

MPFL reconstruction