MPFL reconstruction

 1.  MPFL reconstruction

Indication

- patient with history initial traumatic dislocation

- also indicated in patient with laxity to act as a check rein

Grafts

1.  Y Graft

- double ST autograft into Y

2.  Single limb free semitendinosus autograft

- limb to patella via endobutton

Non-operative

Results

90% respond 

- very important

- 6 - 12 months minimum before offering surgery

Physiotherapy

1.  Stretches

- quads stretches

- ITB

- lateral retinaculum