Knee

MPFL

The MPFL (Medial Patellofemoral Ligament) is a crucial stabilizing structure in the knee, particularly responsible for preventing the patella (kneecap) from dislocating towards the outer side of the knee. In cases of recurrent patellar dislocations or instability, MPFL reconstruction surgery may be performed. During the procedure, the damaged or torn MPFL is reconstructed using a graft, often taken from the patient's hamstring tendon. The graft is secured in place with screws or other fixation devices. MPFL reconstruction aims to restore stability to the patella, reducing the risk of dislocation. Postoperatively, patients undergo rehabilitation to regain strength and flexibility in the knee. This surgery is typically indicated for individuals with persistent patellar instability despite non-surgical interventions. The success of MPFL reconstruction depends on factors such as patient compliance with rehabilitation, the choice of graft, and adherence to the surgeon's guidelines during the recovery period.

Key things to know before the surgery

Before considering MPFL (Medial Patellofemoral Ligament) reconstruction surgery, individuals should be aware of key considerations to make informed decisions. A thorough evaluation by an orthopedic surgeon is crucial to determine the necessity of the procedure, usually prompted by recurrent patellar dislocations or instability. Understanding the anatomy of the MPFL, the nature of the injury, and the surgical procedure is essential. The choice of graft material for the reconstruction, often sourced from the patient's hamstring tendon, is a critical decision. Patients should discuss the expected outcomes, potential risks, and the postoperative recovery process, including rehabilitation. Realistic expectations regarding the recovery timeline and the commitment required for postoperative rehabilitation are vital. Compliance with the prescribed rehabilitation program is crucial for optimal outcomes. Individuals should also be aware of potential risks and actively participate in preoperative and postoperative discussions with the healthcare team to gain a comprehensive understanding of the procedure and its implications.

Surgery Overview

MPFL (Medial Patellofemoral Ligament) reconstruction surgery is a specialized procedure designed to address recurrent patellar dislocations or instability. Typically performed arthroscopically, the surgeon makes small incisions to access the knee joint, employing a camera for precise visualization. The damaged or torn MPFL is reconstructed using a graft, often sourced from the patient's hamstring tendon. The graft is then precisely positioned and secured in place with screws or other fixation devices to replicate the function of the original ligament. This surgical intervention aims to restore stability to the patella, preventing its dislocation during knee movements. Postoperatively, patients undergo a comprehensive rehabilitation program, including physical therapy, to regain strength and flexibility in the knee. The success of MPFL reconstruction depends on factors such as the choice of graft, surgical technique, and the patient's commitment to the prescribed rehabilitation plan, ensuring a comprehensive recovery and optimal function of the patellofemoral joint.

After Surgery

After undergoing MPFL (Medial Patellofemoral Ligament) reconstruction surgery, careful postoperative care is essential for a successful recovery. Patients should diligently follow the surgeon's instructions regarding wound care, medications, and scheduled follow-up appointments. Managing swelling and pain in the initial stages may involve prescribed medications and the application of ice. Adherence to the prescribed rehabilitation program is crucial, involving a gradual progression of exercises to regain strength, flexibility, and stability in the knee. Physical therapy sessions play a vital role in guiding patients through the recovery process. It's essential to avoid activities that may strain the reconstructed MPFL and adhere to any weight-bearing restrictions outlined by the healthcare team. Regular monitoring for signs of infection, unusual pain, or complications is important, and any concerns should be promptly communicated to the healthcare provider. Successful recovery after MPFL reconstruction requires active participation in rehabilitation, patience, and clear communication with the healthcare team to address any questions or uncertainties throughout the postoperative period.