Effectiveness of Medial Patellofemoral Ligament Reconstruction Protocol for a 14-year-old Male: A Retrospective Case Report
Type of Presentation
Poster Session
Location
Hall of Governors
Start Date
4-8-2022 4:00 PM
End Date
4-8-2022 6:00 PM
Abstract
Objective: To investigate the four phases of the MPFL reconstruction protocol to distinguish if the goals, outcomes, and length of each phase were appropriate and achievable status post MPFL reconstruction surgery.
Background: In 90% of adolescent patellar dislocations, the medial patellofemoral ligament (MPFL), the primary stabilizer and most crucial ligament of the patella, is affected. Patellar dislocations are most common in adolescents aged 10 to 17 who are active. Current research suggests that in most cases of patellar dislocations, the MPFL is disrupted and does not return to its previous level of tension. An individual may try conservative treatment, but the re-dislocation rate after an MPFL tear is estimated to be 15-44%. Surgical techniques for MPFL reconstruction include use of a graft, which uses different tissues such as the adductor magnus, quadriceps tendon, semitendinosus, or a synthetic mesh ligament. After a patient undergoes MPFL reconstruction, the goals of rehabilitation will focus on protection for healing, mobility, ROM, full weight bearing (WB), strength, proprioception, and return to sport.
Presenter:
Emily Carstens
Physical Therapy Doctoral Student
Faculty / Staff Sponsor
Dr. Scott Getsoian
Assistant Professor, College of Health and Human Services
Anne Rockert
Adjunct Faculty Member, College of Health and Human Services
Effectiveness of Medial Patellofemoral Ligament Reconstruction Protocol for a 14-year-old Male: A Retrospective Case Report
Hall of Governors
Objective: To investigate the four phases of the MPFL reconstruction protocol to distinguish if the goals, outcomes, and length of each phase were appropriate and achievable status post MPFL reconstruction surgery.
Background: In 90% of adolescent patellar dislocations, the medial patellofemoral ligament (MPFL), the primary stabilizer and most crucial ligament of the patella, is affected. Patellar dislocations are most common in adolescents aged 10 to 17 who are active. Current research suggests that in most cases of patellar dislocations, the MPFL is disrupted and does not return to its previous level of tension. An individual may try conservative treatment, but the re-dislocation rate after an MPFL tear is estimated to be 15-44%. Surgical techniques for MPFL reconstruction include use of a graft, which uses different tissues such as the adductor magnus, quadriceps tendon, semitendinosus, or a synthetic mesh ligament. After a patient undergoes MPFL reconstruction, the goals of rehabilitation will focus on protection for healing, mobility, ROM, full weight bearing (WB), strength, proprioception, and return to sport.
Presenter:
Emily Carstens
Physical Therapy Doctoral Student