MPFL Reconstruction
MPFL- Medial Patellofemoral Ligament(MPFL) is a surgical treatment that is used to create a new MPFL to stabilize the Knee and provide protection to the knee joint from additional damage. In MPFL reconstruction surgery, surgeons attach the Patella(Kneecap) to the inner part of the knee.
What is MPFL?
Medial Patellofemoral Ligament is a part of a complex network of soft tissue that provides stability to the knee. MPFL attaches the inner part of the Patella with a long bone of the thigh ” Femur”. Patella and Femur together create a complex Patellofemoral Joint.
Injury of MPFL
Injury to MPFL occurs when you completely or partially dislocate Patella. In a healthy Knee, Patellofemoral joints move smoothly with each other when the joint is flexed. MPFL is a crucial part of the Patellofemoral joint that keeps the Patella in place. Mostly during injury, Patella dislocates outward and the ligament on the inside gets torn. If you leave an MPFL injury untreated, it might heal itself, but it will lose and lengthen its position. This increases the chances of dislocation in the future. An MPFL Reconstruction surgeon can help you prevent this issue.
What are the causes of MPFL?
The most common cause of MPFL injury is dislocation during high-impact sporting events. Sometimes MPFL can be due to underlying abnormality, ligament laxity, or weak muscles. Most of the time individuals with a sports background have a high chance of risk. That’s why you might need a Medial Patellofemoral Ligament reconstruction surgeon.
MPFL Reconstruction Protocol
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Though you will find the best results after the first surgery, there are some chances of complications in some cases. If you feel any pain, it’s important to immediately consult doctors for the best advice.
Before MPFL reconstruction surgery in Delhi with Dr. Biren Nadkarni, Patients will undergo an assessment test. Assessment is basically conducted to evaluate the condition of cartilage in the joint and understand if a patient is eligible for MPFL surgery or not. Though non-operative procedures are less, if a patient has only a single dislocation without cartilage injury, they will be treated with physical therapy and short-term immobilization.
However, most of the time, Medial Patellofemoral ligament reconstruction surgery takes place as patients have dislocated MPFL more than once.
Procedure of MPFL
In MPFL Surgery, an MPFL reconstruction surgeon uses anesthesia to numb the lower half of the body. Then the surgeon will replace the injured ligament with another portion of the tendon. Tendon is either taken from the patient’s own hamstring or from the donor.
What can you expect after Reconstruction?
After MPFL reconstruction, patients can bear weight on the legs with braces. The braces will remain on the leg for six weeks after surgery. Braces will keep the leg straight for walking. During this recovery time, CPM- Continuous Passive motion machine is used to avoid scar tissue or stiffness when the ligament is healing. Once the thigh muscle is strong enough to help the joint, patients begin with physical therapy which usually takes place after six months.
MPFL reconstruction is one of the successful surgeries with excellent results and has a very low complication rate. You can schedule your appointment with Dr. Biren Nadkarni, MPFL Reconstruction surgeon in Delhi NCR. He has a high success rate in various knee surgeries using the latest tools and technology to help patients.
FAQs
What is MPFL Reconstruction Surgery, and why is it performed?
MPFL reconstruction surgery is a surgical procedure that aims to reconstruct the medial patellofemoral ligament (MPFL) to stabilize the patella or kneecap. This procedure is performed to treat patellar instability, patellofemoral pain syndrome, and recurrent dislocation of the patella.
Who is a good candidate for MPFL Reconstruction Surgery?
Patients who experience frequent episodes of patellar instability, dislocation, or chronic patellofemoral pain syndrome despite conservative treatments are good candidates for MPFL reconstruction surgery.
What is the success rate of MPFL Reconstruction Surgery?
The success rate of MPFL reconstruction surgery is around 80-90%, depending on the severity of the condition and the patient's compliance with postoperative rehabilitation.
How long does the surgery take, and what is the recovery period?
The surgery usually takes 1-2 hours, and the recovery period is around 6-8 weeks. The patient is advised to avoid weight-bearing activities for 2-3 weeks, and a rehabilitation program is designed to ensure a full recovery.
What are the risks and complications associated with MPFL Reconstruction Surgery?
The risks and complications associated with MPFL reconstruction surgery include bleeding, infection, nerve damage, knee stiffness, and the failure of the reconstructed ligament.
How to find the best MPFL Reconstruction Surgeon in Delhi?
You can find the best MPFL reconstruction surgeon in Delhi by researching online, checking their qualifications, experience, and patient reviews, and consulting with your primary care physician.
What is the cost of MPFL Reconstruction in Delhi?
The cost of MPFL reconstruction surgery in Delhi varies depending on the surgeon's expertise, the facility's location, and the extent of the surgery.
How long does it take to schedule MPFL Reconstruction Surgery in Delhi?
The scheduling of MPFL reconstruction surgery in Delhi depends on the surgeon's availability and the facility's scheduling process. Generally, it can take 1-2 weeks to schedule the surgery.
What is the pre-operative preparation for MPFL Reconstruction Surgery?
The pre-operative preparation for MPFL reconstruction surgery involves a physical examination, blood tests, X-rays, and MRI scans. The surgeon will also advise the patient on any necessary medications to stop or continue before surgery.
What is the post-operative care after MPFL Reconstruction Surgery?
The post-operative care after MPFL reconstruction surgery involves keeping the knee elevated, taking prescribed pain medications, and following a rehabilitation program designed by the surgeon. The patient must avoid weight-bearing activities for 2-3 weeks.
How long does it take to recover from MPFL Reconstruction Surgery?
It takes around 6-8 weeks to recover from MPFL reconstruction surgery. However, the patient must continue following the rehabilitation program even after the initial recovery period to ensure a full recovery.
Can MPFL Reconstruction Surgery be performed arthroscopically?
Yes, MPFL reconstruction surgery can be performed arthroscopically, which is a minimally invasive surgical technique that involves making small incisions in the knee to insert a camera and surgical instruments.
What are the alternatives to MPFL Reconstruction Surgery?
The alternatives to MPFL reconstruction surgery include physiotherapy, bracing, taping, and pain management medications. However, these alternatives are only effective for mild to moderate cases of patellar instability or patellofemoral pain syndrome.
How can I prevent the recurrence of patellar instability after MPFL Reconstruction Surgery?
Following the rehabilitation program recommended by the surgeon is crucial in preventing the recurrence of patellar instability after MPFL reconstruction surgery. The patient must also avoid activities that put excessive stress on the knee joint and wear proper footwear.
Where can I find the best MPFL Reconstruction Surgeon in South Delhi?
You can find the best MPFL reconstruction surgeon in South Delhi by researching online, checking their qualifications, experience, and patient reviews, and consulting with your primary care physician.