MPFL Reconstruction

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MPFL Reconstruction

Medial patellofemoral ligament (MPFL) reconstruction surgery is a procedure aimed at addressing instability of the patella (kneecap) by reconstructing the MPFL, a ligament that helps stabilize the patella during knee movement. This surgical intervention involves using a graft, typically harvested from the patient's hamstring tendon or a donor source, to reconstruct the damaged MPFL. MPFL reconstruction is performed to restore patellar stability and function, particularly in individuals who experience recurrent patellar dislocations or instability episodes.

Why MPFL Reconstruction Surgery?

MPFL reconstruction surgery is recommended for individuals who have experienced recurrent patellar dislocations or instability due to a torn or stretched MPFL. Without surgical intervention, ongoing instability of the patella can lead to further damage to the knee joint and impair activities that involve knee movement, such as walking, running, or climbing stairs. MPFL reconstruction aims to restore patellar stability, reduce the risk of recurrent dislocations, and improve overall knee function.

Is MPFL Reconstruction Surgery Necessary?

MPFL reconstruction surgery is considered necessary for individuals with symptomatic patellar instability or recurrent dislocations that significantly impact their quality of life and functional ability. While some individuals may initially try conservative treatments such as physical therapy or bracing, MPFL reconstruction is often recommended for those who continue to experience instability despite conservative management. The decision to undergo surgery is made collaboratively between the patient and their healthcare team, considering factors such as the severity of symptoms, functional goals, and activity level.


How Is MPFL Reconstruction Surgery Done?

MPFL reconstruction surgery involves several key steps to reconstruct the torn ligament and restore stability to the patella. Surgeons typically use arthroscopic techniques, making small incisions around the knee joint to access the damaged MPFL. The torn ligament is removed, and a graft is prepared to replace it. The graft is then secured in place using screws or other fixation devices, allowing it to integrate and heal within the knee joint. Physical therapy is initiated soon after surgery to facilitate recovery, restore range of motion, and strengthen the muscles surrounding the knee.

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What Happens After MPFL Reconstruction Surgery?

After MPFL reconstruction surgery, patients undergo a period of recovery and rehabilitation to regain strength, stability, and function in the knee. Physical therapy plays a crucial role in the recovery process, focusing on exercises to improve range of motion, strength, balance, and neuromuscular control. Patients are advised to follow a structured rehabilitation program under the guidance of a physical therapist to optimize outcomes and minimize the risk of complications. With diligent rehabilitation and adherence to postoperative protocols, most individuals can expect to return to their desired level of activity within several months following MPFL reconstruction surgery.