IC: 208

Title: So, You’ve Mastered MPFL Reconstruction: What Else to Add, and When?

Course Description:

Surgical techniques in MPFL reconstruction for the treatment of patellar instability have become increasingly popularized. However, optimal outcomes require that concurrent factors related to morphology or alignment are addressed at the time of soft tissue reconstruction. We review the treatment algorithm for when and why to add concurrent procedures and provide pearls on how to perform them while avoiding complications. Cases demonstrating multiple concurrent factors will be presented to highlight each principle.

Learning Objectives:

• Understand when and how to add anteromedializing osteotomy in the setting of coronal malalignment, and how to avoid complications.
• Understand when and how to add distalizing tuberosity osteotomy in the setting of patella alta, and how to avoid complications.
• Understand when and how to add trochleoplasty techniques in the setting of severe trochlear dysplasia, and how to avoid complications.
• Understand when and how to add lateral release or lengthening in the setting of lateral soft tissue contractures, and how to avoid complications.

Faculty

Miho J. Tanaka, MD

Elizabeth A. Arendt, MD

Andrew J. Cosgarea, MD

Jack Farr, II, MD

Adam B. Yanke, MD, PhD