IC 307-2023: Patellar Instability: When is an MPFL Reconstruction Just Not Enough! A Case-Based Discussion-IC 307 - Patellar Instability: When is an MPFL Reconstruction Just Not Enough! A Case-Based Discussion (1/4)

IC 307 - Patellar Instability: When is an MPFL Reconstruction Just Not Enough! A Case-Based Discussion (1/4)

Video Transcription

Video Summary

In this video, the presenter discusses a case of a 22-year-old patient with a history of right tib-fib fracture at age 13. The patient had a subsequent patella dislocation and had not received further treatment due to economic constraints. The patient also had trichorhinal phalangeal syndrome, which affected her fingers but not her knees. X-rays showed substantial lateral displacement of the patella in both knees. The presenter performed a proximalization of the tibial tubercle and an MPFL reconstruction to address the instability. Postoperatively, the patient had improved alignment and a stable patella. The presenter also discusses the use of lateral retinacular lengthening and the challenges of weight-bearing precautions after a height-changing tibial tubercle osteotomy. The panelists share their experiences and opinions on these topics.

Asset Caption

Jason Koh, MD, MBA

Keywords

tib-fib fracture

patella dislocation

MPFL reconstruction

proximalization

lateral retinacular lengthening