How long do MPFL reconstructions last?
Reconstructive surgery of the MPFL takes approximately 1 hour. The time may vary based on the complexity of the injury and if additional structures need to be repaired or reconstructed.
Is MPFL reconstruction major surgery?
No. MPFL reconstruction is performed as an outpatient surgery. You will arrive approximately 1.5 – 2 hours prior to your procedure. Typically, you will be able to return home about two hours after your surgery is over.
How long does it take for MPFL to heal without surgery?
For a first time dislocation, without loose bodies, non-surgical treatment with rehabilitation is recommended. Bracing the joint will allow the swelling to decrease and may help to stabilize the patella. Physical therapy is prescribed, and a full recovery can be expected within an 8-12 week period.
Can the MPFL heal itself?
Left untreated, an injured MPFL can heal on its own. However, when left alone, the ligament heals in a loosened, lengthened position. This causes instability that makes it easier for the patella to become dislocated again in the future. This, in turn can cause damage to the cartilage in the knee.
How long does it take to bend your knee after MPFL reconstruction?
Driving. You may resume driving a vehicle when you have stopped your narcotic pain medication and you can comfortably bend and straighten your operative knee. This typically occurs approximately 4-6 weeks after surgery.
Can I sleep on my side after MPFL reconstruction?
You may sleep on your back or side; however, you must sleep with your knee brace on to prevent unwanted movement at the knee. It may be more comfortable to sleep with a pillow between your knees.
How painful is MPFL surgery?
It is common to experience pain on the inner side of the knee along the graft for a few months after the operation. You will need to take 3-4 weeks off work after an MPFL reconstruction. Physiotherapy commences immediately after the operation, working on regaining range of movement and muscle strength.
Is a MPFL tear painful?
During a patella dislocation, the kneecap moves laterally (outward) relative to the femur. This phenomenon is associated with a stretching or tearing of the MPFL. An individual who sustains this injury will feel acute pain and immediate swelling.
What does a torn MPFL feel like?
Common signs and symptoms that may occur with an MPFL injury include: Feeling the knee “give way” or “buckle” during activity. Feeling like the kneecap is sliding out to the side during knee movement. Swelling of the knee after activity.
How do I know if I tore my MPFL?
The common symptoms include pain, tenderness, swelling around the knee joint, restricted movement of the knee, numbness below the knee, and discoloration of the area where the injury has occurred.
How successful is MPFL surgery?
Modern MPFL reconstruction is a well-described operative intervention which is successful in the vast majority of chronic patellar instability patients. Excellent functional results have been reported as high as 95%, and numerous studies have documented significant reduction in postoperative re-dislocation [18, 19].
When can I bend my knee after MPFL surgery?
You may resume driving a vehicle when you have stopped your narcotic pain medication and you can comfortably bend and straighten your operative knee. This typically occurs approximately 4-6 weeks after surgery.
What is MPFL reconstruction surgery?
What is MPFL reconstruction? MPFL reconstruction is a surgery in which a new medial patellofemoral ligament is created to stabilize the knee and help protect the joint from additional damage. It offers an excellent treatment option for people who have experienced more than one dislocation. The procedure is relatively new.
What is the MPFL reconstruction protocol for patellar instability?
MPFL reconstruction protocol At the Patellofemoral Center at HSS, patients with patellar instability undergo a thorough assessment that includes a physical examination and review of the patient’s medical history.
What is MPFL injury?
Injury to the MPFL. In the healthy knee, the bones that make up the patellofemoral joint move smoothly against one another as the joint is flexed or extended.
What are the possible complications of MPFL reconstruction?
MPFL reconstruction produces excellent results and has a very low rate of complication. Rare complications can, however, include fractures, infections or blood clots.