#MPFL RECONSTRUCTION

[not-in-front-of-the-klingons]

Maybe one of the most painful experences of my life. Had my third (and hopefully final) knee surgery, a partial replacement aka an oxford knee. 33 with a knee older than my grandma.

[changeling-of-the-fae]

Six month update for posterity!

So, uh. Wow. This side of six months doesn't seem nearly as bad as six weeks did.

I'm back to biking and swimming, full range of motion, still a little weaker than it should be, but some of that is my pre-op timeline and some of it is my less-than-100% compliance with my HEP.

(It gets old. It really does. It's a mental game and I'm working on it, but the brain is the hardest body part to fix.)

My last follow up appointment was yesterday. I... may have forgotten that I have a grade 3 chondral defect on my patella. Like, completely.

So even though I still have some residual pain with single leg squats, I chalked it up to a strength issue and didn't mention it to the surgeon, which I sort of regret.

On the other hand, any cartilage repair procedures would be another 12-18 months recovery and I am SO not ready to chase that route.

Thus, celebrating my current victories, my clearance for any and all activities as tolerated, and I'll cross the cartilage bridge when I get there.

[javaholicmom]

The biggest challenge I'll have to face in the upcoming months is recovering from my MPFL Reconstruction Surgery. Will the things including my family's lifestyle and my job (and more) go back to normal?

[iwanttoeatrocks]

being denied medical care because of circumstances out of my control feels like sleeping on rocks. I'd rather eat them, and then maybe I wouldn't be so exhausted.

[mrhaitch]

Mr Haitch I saw you had an injury, ouch! I don’t know what part of you that you injured, but has recovery been going well? <if you feel comfortable sharing>

I’m a below knee amputee since my teen years and I tore my mpfl (ligament holding kneecap in place) in December on the same side. 🥴 had to get a donor ligament and emergency reconstruction surgery- don’t recommend it. But through lots of hard work I’m walking about 100ft at a time so far!

I’m a bit socially awkward so I’m only bringing my situation up to express a little extra empathy for your struggle, I don’t have children but I imagine it’s difficult to recover and rehab with little ones running around. I hope you’re being kind to yourself about it and giving yourself grace.

Do you accept dog pictures as a form of encouragement and comfort? If so, this is Drumstick: We’re missing the same leg, his favorite hobby is friendship and his favorite food is everything.

I absolutely accept dog pictures, regardless of intent or purpose - they're the only form of currency I respect. Love their pyjamas.

I'm sorry to hear about your injury, but that is amazing progress you're making.

My injury was far less severe: an incarcerated umbilical hernia. At some point (back in May) I overdid it on the weight training and tore a hole in my abs about 0.5cm in diameter, but enough for some of the fatty tissues behind the muscle to peek through and then got stuck. Within hours of finding it, I was in surgery.

The recovery process has been long and uncomfortable - I was practically immobile for two weeks, and when I was up on my feet I could only shuffle around like an old man. I'm most of the way better {about 98% I'd say).

[akhilaasthana]

[ californication ] what do they think is their greatest achievement in life?

I'll let Akhila speak for herself on this occasion –

“The MPFL reconstruction was pioneered in ’92 using an allograft. The vast majority of surgeons since would choose an autograft, myself I preferred gracilis or semitendinosis, however the complication rate of either remains high. We sought to reduce operative and, recovery time together by imploring the use of modern synthetic grafts in the procedure. The procedure is minimally invasive. It results in less pain, weakness and complications meaning a faster rehabilitation. I would say that is most satisfactory.”

“That is perhaps a little biased, as I have my own interests in sports injuries. I have also aided in implementing the day-case lateral unicompartmental knee replacement. Which some would foolishly praise, but we stand far behind our fellows in the States who've been doing it since the 2000s.”

[wheelie-sick]

I hate getting unsolicited advice from people

"hey I have these questions about MPFL reconstruction & other patella stabilizing surgeries and I know some people here have gotten them...."

"those surgeries are not recommended to treat EDS"

are we just going to ignore the miserable malalignment syndrome and other deformities affecting my patella and trochlear groove then?? are we just gonna ignore some of the primary reasons for my knee surgery?? you do not know me or my medical conditions. when I'm asking a question about these surgeries I am not asking for advice on whether or not I should get them.

[xohanamuax]

Recovery from MPFL Reconstruction

What is the biggest challenge you will face in the next six months? Back in early December 2023, I was rushed to the emergency room via ambulance due to Patella Dislocation.  It was by far the worst I have ever had because my kneecap has gone out of place multiple times before but it automatically goes back in place.  Not that time. The pain was excruciating and the injury was obvious. Spending…

[kywaslost]

Sorry for the odd question, just read your about me again and noticed you're worried about your brother.

How's he doing? Is he good? Are you good? You okay?

Hi! Thank you so much for the concern! My brother dislocated his knee is basketball and requires surgery, which was supposed to be last week but was canceled and is now this coming thursday. He's getting reconstruction surgery on his MPFL and then they are drilling holes in his cartilage to increase blood flow and hopefully promote quicker healing. He's alright, and to be honest I'm more afraid than he is. But only because I have a fear of hospitals and surgeries. I'm doing alright, just very stressed and worried.

Thank you so much for asking :) ❤️❤️

[kneecares]

MPFL Reconstruction Surgery | Knee Treatment in Jaipur - Kneecares

What is the medial patellofemoral ligament (MPFL)?

The medial patellofemoral ligament (MPFL) plays a crucial role in the intricate web of soft tissues that stabilize the knee. It serves as the link between the inner portion of the kneecap (patella) and the elongated thigh bone (femur), collectively forming the patellofemoral joint.

Injuries to the MPFL typically transpire when the patella experiences dislocation or partial dislocation (subluxation), often due to traumatic incidents during sports or accidents. Such injuries can also result from naturally lax ligaments, which are more commonly observed in females, or due to variations in an individual's bone structure. Individuals with these injuries are often described as having patellar instability.

Best acl surgeon in jaipur, Best knee replacement consultants india,Partial Knee Replacement in jaipur,Total knee replacement in jaipur,

[not-in-front-of-the-klingons]

So today was interesting. Im equally pleased and devastated. 33 year old me was told a partial knee replacement is my best option. So thats nice.

[orthotv]

📚 2nd Edition BANGALORE KNEE CONFERENCE 2024

🗓️ Date: 9th November 2024

📍 Venue: Radisson Blu Atria, Bengaluru

🔬 Theme: Multiligament and Complex Knee Procedures

💻 Click here to Register: https://tinyurl.com/OrthoTV-BKC-2024

🔛 Scientific Highlights:

A. Live Demonstration of the Following Procedures:

All Inside Bi-Cruciate Reconstruction (All Inside ACL + PCL)

Double Bundle ACL + ALL

Combined DB PCL + PLC Reconstruction

Anatomic MCL + LCL Reconstruction

HTO + ACL + MM Root Repair

Trochleoplasty + TTO + MPFL Reconstruction

B. Re-live of the Following Procedures:

Tibial Spine Avulsion ACL Suture Bridge

PCL Avulsion Reattachment

Pediatric/Physeal Sparing ACL All Inside

LET

Quad Tendon ACL

ACL Primary Repair

…and many more!

👨‍⚕️ Organizing Chairman: Dr. Sharath KR

🎓 Patrons: Dr. Satish Shreevgar Dr. Sanjay Pai Dr. Naresh Shetty

📺 Media Partner: OrthoTV Global 🔗 Join OrthoTV: https://linktr.ee/OrthoTV

[indoreshoulder]

Understanding the Benefits of MPFL Surgery for Knee Stability

Knee instability is a common issue that can significantly impact one's quality of life, hindering mobility and causing discomfort. One surgical procedure gaining recognition for addressing this problem is Medial Patellofemoral Ligament (MPFL) reconstruction. MPFL surgery is designed to restore stability to the knee joint, providing patients with improved function and decreased pain. In this article, we'll delve into the benefits of MPFL surgery, its procedure, and its impact on patients' lives.

Understanding the Knee and MPFL:

The knee is a complex joint where the thigh bone (femur), shin bone (tibia), and kneecap (patella) meet. The patella plays a crucial role in knee movement, as it glides within a groove at the end of the femur. The MPFL is a ligament on the inner side of the knee that helps stabilize the patella, preventing it from dislocating or shifting excessively outward.

When the MPFL is damaged or torn, typically due to injury or repetitive stress, it can lead to patellar instability. This instability manifests as recurrent dislocations or subluxations, where the patella partially moves out of its groove. These episodes can cause pain, swelling, and limited mobility, impacting daily activities and sports participation.

Benefits of MPFL Surgery:

Restored Stability: The primary benefit of MPFL surgery is the restoration of knee stability. By reconstructing the MPFL, surgeons aim to recreate the ligament's function, preventing excessive lateral movement of the patella. This stability not only reduces the risk of dislocations but also improves overall knee function.

Pain Reduction: Patients with patellar instability often experience pain, especially during physical activity or movements that stress the knee joint. MPFL surgery can alleviate this pain by addressing the underlying cause of instability. By stabilizing the patella, the surgery reduces abnormal pressure and friction within the knee, leading to decreased pain and discomfort.

Enhanced Function: Patellar instability can severely limit knee functionality, impacting basic tasks like walking, running, stair climbing, and squatting. For optimal outcomes, consulting with one of the best orthopedic surgeon in Indore is recommended. Post MPFL surgery and rehabilitation, individuals usually notice enhanced knee function and increased range of motion. This enables them to partake in daily activities and sports with heightened confidence and minimized risk of injury.

Prevention of Recurrence: Without proper treatment, patellar instability tends to recur, leading to ongoing discomfort and functional limitations. MPFL surgery addresses the root cause of instability, reducing the likelihood of future dislocations or subluxations. This preventive aspect is crucial for maintaining long-term knee health and function.

Procedure and Recovery:

MPFL reconstruction is typically performed arthroscopically, a minimally invasive technique that involves small incisions and specialized instruments. During the procedure, the surgeon uses graft tissue to reconstruct the MPFL, anchoring it to specific points on the femur and patella. The choice of graft material may vary depending on factors such as patient age, activity level, and surgeon preference.

Following surgery, patients undergo a structured rehabilitation program to promote healing and restore knee function. Rehabilitation typically includes exercises to improve strength, flexibility, and proprioception, gradually progressing from passive movements to weight-bearing activities. Patients are advised to follow their surgeon's instructions carefully and attend regular follow-up appointments to monitor progress.

Long-Term Outlook:

The long-term outlook for patients undergoing MPFL surgery is generally favorable, with many experiencing significant improvements in knee stability, function, and quality of life. However, individual outcomes may vary based on factors such as the severity of the initial injury, surgical technique, and adherence to rehabilitation protocols.

It's essential for patients to understand that recovery from MPFL surgery is a gradual process that requires patience and commitment. While some individuals may return to their pre-injury level of activity within a few months, others may require more time to fully recover. Engaging in regular physical therapy and maintaining a healthy lifestyle can further optimize outcomes and reduce the risk of complications.

MPFL surgery, conducted at the best MPFL surgery center in Indore, offers significant benefits for patients suffering from patellar instability. By addressing the underlying cause of instability, this surgical procedure provides a reliable solution to restore knee stability and function. Proper care and rehabilitation following MPFL surgery can alleviate pain, improve mobility, and enhance overall quality of life. With diligent rehabilitation, patients can regain confidence in their knees and return to the activities they love.

[xalohaohanax]

Recovery from MPFL Reconstruction

What is the biggest challenge you will face in the next six months? Back in early December 2023, I was rushed to the emergency room via ambulance due to Patella Dislocation.  It was by far the worst I have ever had because my kneecap has gone out of place multiple times before but it automatically goes back in place.  Not that time. The pain was excruciating and the injury was obvious. Spending…

[theislamom]

Recovery from MPFL Reconstruction

What is the biggest challenge you will face in the next six months? Back in early December 2023, I was rushed to the emergency room via ambulance due to Patella Dislocation.  It was by far the worst I have ever had because my kneecap has gone out of place multiple times before but it automatically goes back in place.  Not that time. The pain was excruciating and the injury was obvious. Spending…

[shakaola]

I dislocated my knee last Dec. 5 & my MPFL Reconstruction surgery is on Feb. 9. I still feel pain from time to time & on occasions, sharp pain on or on the side of my knee. Is that normal?