Spring 2020 Fellows Webinars-Patellofemoral Instability: My 21 Year Journey

Video Transcription

Video Summary

This video features Dr. Latul Farrow who discusses various aspects of treating patellofemoral instability. He emphasizes the importance of anatomic reconstruction of the medial patellofemoral ligament (MPFL) instead of isolated lateral release. Dr. Farrow also highlights the significance of understanding normal and pathologic anatomy, as well as addressing factors like trochlear dysplasia and patella alta. He mentions the use of lateral retinacular lengthening along with MPFL reconstruction. The video stresses the need for continuous learning and tailoring treatment to each patient's needs. Dr. Farrow briefly mentions the potential role of trochleoplasty in specific cases. The video credits Dr. Latul Farrow, the AOSSM Learning Management System, and the organizers of the Multi-Institutional Sports Medicine Fellows Conference.<br /><br />The video focuses on the treatment of patellofemoral instability and other related topics. Dr. Farrow discusses chondrosis in patients with chronic instability and the main goal of stabilizing the knee. He mentions that addressing chondral damage may not be necessary unless it causes pain or loose flaps. The use of fluoroscopy in MPFL reconstructions is highlighted, emphasizing its guidance in the procedure. Dr. Farrow explains his technique of using shadows point for graft placement and the relevance of isometry. He also discusses lateral retinacular lengthening and its role in improving patellar alignment, describing the surgical approach. The video includes a Q&A section where Dr. Farrow addresses questions from surgeons regarding femoral tunnel diameter, growth plate complications, and graft tightness in MPFL reconstructions. The content provides valuable insights into managing and performing surgical techniques for patellofemoral instability.

Asset Subtitle

April 13, 2020

Keywords

patellofemoral instability

anatomic reconstruction

medial patellofemoral ligament

trochlear dysplasia

patella alta

lateral retinacular lengthening

chondrosis

fluoroscopy

graft placement

surgical techniques