Patellar Instability and Medial Patellofemoral Ligament Reconstruction

Medial patellofemoral ligament (MPFL) reconstruction is a surgical procedure to repair or replace a torn MPFL. The MPFL is a ligament that helps to keep the kneecap (patella) in place. It is located on the inner side of the knee, and it helps to prevent the patella from sliding out to the side.

An MPFL tear can occur suddenly, such as when you land awkwardly from a jump or twist your knee. It can also occur gradually, over time, due to overuse.

Symptoms of an MPFL tear include:

• Pain in the front of the knee

• Swelling in the front of the knee

• Instability in the knee

• A popping or clicking sensation in the knee

• Difficulty walking or running

If you have any of these symptoms, it is important to see us to get a diagnosis and discuss treatment options.

There are a number of different treatments available for an MPFL tear, depending on the severity of the tear. Some common treatments include:

• Rest

• Ice

• Compression

• Elevation (RICE)

• Physical therapy

• Surgery

Rest, ice, compression, and elevation (RICE) are often the first line of treatment for an MPFL tear. These treatments can help to reduce pain and inflammation.

Physical therapy can help to strengthen the muscles around the knee and improve range of motion.

Surgery may be necessary if other treatments have not been successful or if the MPFL tear is severe. There are a number of different surgical procedures that can be used to repair an MPFL tear. The type of surgery that is best for you will depend on the severity of your tear and your individual needs.

The goal of treatment for an MPFL tear is to relieve pain, improve range of motion, and return the knee to its normal function. With proper treatment, most people with an MPFL tear can return to their normal activities.

Here are some things to expect after MPFL reconstruction surgery:

• You will likely have a brace on your leg for 6 weeks after surgery.

• You will need to rest your knee and avoid strenuous activity.

• You will need to participate in physical therapy to regain range of motion and strength in your knee.

• It may take several months for your knee to fully heal.

The success rate of MPFL reconstruction surgery is high. Most people who have the surgery experience relief from pain and improved function in their knee. However, there is a small risk of complications, such as infection, bleeding, and stiffness.

If you are considering MPFL reconstruction surgery, talk to us about the risks and benefits of the procedure.