Sports Medicine
MPFL Repair
MPFL reconstruction is performed to restore stability to the kneecap (patella) after it has dislocated, often due to sports injuries or congenital issues. The MPFL is a key ligament that stabilizes the kneecap and prevents it from sliding out of place. When the MPFL is torn, patients may experience repeated dislocations, leading to pain, instability, and limited activity. MPFL reconstruction involves using a graft to replace the damaged ligament, securing the kneecap and restoring normal function.
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Preparing for MPFL Reconstruction
Before MPFL reconstruction, patients undergo a thorough examination to assess the severity of the ligament tear and any associated knee damage. Imaging tests like X-rays and MRI scans provide a detailed view of the knee’s anatomy. Patients are often advised to strengthen the muscles around the knee through pre-operative physical therapy to prepare for a smoother recovery. They are also counseled on the post-surgery rehabilitation plan and the use of braces or crutches during the early stages of healing..
Surgery Overview
MPFL reconstruction is typically performed under general or regional anesthesia and takes about 1 to 2 hours. The surgeon makes small incisions and uses arthroscopic tools to remove the torn ligament. A graft, often taken from the hamstring or another source, is then used to reconstruct the MPFL. The graft is anchored to both the patella and the thigh bone (femur) to stabilize the kneecap. Once the surgery is completed, the incisions are closed, and the knee is bandaged to reduce swelling and promote healing.
Life After PCL Reconstruction
Rehabilitation after MPFL reconstruction focuses on restoring the knee's stability and improving muscle strength. Physical therapy begins soon after surgery to encourage joint mobility and prevent stiffness. As the knee heals, patients gradually transition to weight-bearing exercises and muscle-strengthening routines. A knee brace may be required during the initial stages of recovery. With proper rehabilitation, patients typically return to their normal activities within a few months, with improved knee stability and reduced risk of further dislocations.