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 (4/4)

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

Video Transcription

Video Summary

The video discusses the case of a 13-year-old girl with patellar instability. The patient has a history of multiple dislocations and participates in three sports. The physical examination reveals apprehension, and imaging measurements indicate patella alta, trochlear dysplasia, and a lateralized tibial tubercle. The treatment options discussed include bracing, physical therapy, MPFL reconstruction, MPFL plus patellar tendon shortening, and various surgical procedures. The surgeon initially performs MPFL reconstruction with allograft but the patient experiences a redislocation and requires a revision surgery involving an AMZ procedure with distalization. Factors such as the Katam Deschamps measurement, trochlear dysplasia, TTTG measurement, and skeletal maturity are considered when determining the extent of distalization. The surgeon also explains their technique for fixing the MPFL. The video concludes with a question-and-answer session. No credits were mentioned in the video.

Asset Caption

Sabrina Strickland, MD

Keywords

patellar instability

MPFL reconstruction

redislocation

AMZ procedure

distalization