Understanding MPFL Repair begins with grasping the concept of arthroscopy. Arthroscopy, originating from Greek words árthro (joint) and skopein (to look), is a minimally invasive surgical technique used by orthopedic surgeons to examine and treat joint issues without significant incisions. MPFL Repair is a surgical procedure performed to repair a torn medial patellofemoral ligament (MPFL) in the knee. This intervention becomes necessary when the MPFL is completely ruptured or significantly damaged, leading to patellar instability and recurrent dislocations. During MPFL Repair, surgeons use arthroscopic techniques to access the knee joint. They then repair the torn MPFL using sutures or anchors to reattach it to the patella and femur, restoring stability to the kneecap.
MPFL Repair offers several advantages over traditional open procedures. These include reduced post-operative complications, faster recovery times, diminished pain, and improved patellar stability. This approach has transformed the treatment of MPFL injuries, significantly enhancing patient outcomes and reducing the risk of recurrent dislocations.
MPFL Repair is typically recommended for individuals with a completely ruptured MPFL and recurrent patellar dislocations or instability. Common indications for MPFL Repair include:
Before undergoing MPFL Repair, patients undergo thorough medical evaluations. They may need to discontinue certain medications and adhere to pre-operative fasting guidelines. Additionally, patients should arrange for assistance during the post-operative recovery period and wear comfortable clothing on the day of surgery.
MPFL Repair is performed under anesthesia. Surgeons use arthroscopic techniques to access the knee joint and perform the repair. They carefully repair the torn MPFL using sutures or anchors to reattach it to the patella and femur. The procedure typically lasts several hours, including pre-operative preparations and post-operative care.
After MPFL Repair, patients undergo a comprehensive rehabilitation program. Physical therapy is crucial for regaining knee strength, range of motion, and patellar stability. Return to activities is gradual and guided by the surgeon's recommendations.
While MPFL Repair is generally safe, there are potential risks associated with any surgery. These may include infection, blood clots, excessive bleeding, and failure of the repair. However, with proper pre-operative evaluation and post-operative care, the likelihood of complications is minimized.