Patella Instability Didactic Presentations - AOSSM/POSNA Pediatric Surgical Skills Course-2. Quadricep Turndown Technique for Medial Patellofemoral Ligament Reconstruction

2. Quadricep Turndown Technique for Medial Patellofemoral Ligament Reconstruction

Video Transcription

Video Summary

In this video, John Pulaski discusses the superficial quad technique for MPFL reconstruction. He credits Dr. Deepak Goyal for originally describing this procedure. The technique involves making an incision, performing blunt dissection to create a mobile window, exposing and separating the lamina of the quadriceps tendon, measuring and cutting the graft, attaching it to the patella in a triangular pattern, rotating the graft 90 degrees medially, and using standard MPFL techniques to tunnel to the medial epicondyle and secure the graft. The goal is to optimize graft length and tension to prevent a stiff knee. Post-surgery, immediate quad strengthening and rehab exercises are recommended.

Keywords

superficial quad technique

MPFL reconstruction

Dr. Deepak Goyal

graft length and tension

quad strengthening and rehab exercises