Can this Reconstruction be Done Arthroscopically?
An MPFL (medial patellofemoral ligament ) reconstruction does involve an arthroscopic part of the procedure but small incision are required to attach the graft to the patella and to the femur where it is attached to the bone using small bone tunnels and screws or suture anchors. Other procedures that Dr. Mazzara may need to do through an open surgery include: tibial tubercle osteotomy, a lateral retinacular lengthening, or a trochleoplasty. MPFL reconstruction typically takes approximately 60-90 minutes to perform and is done under general anesthesia.
What is the Recovery Time After Medial Patellofemoral Ligament Reconstruction?
Patients who undergo MPFL reconstruction will need to be non-weight bearing for approximately 6 weeks and will be instructed on how to use crutches. Knee motion may be limited for the first 2 weeks, afterward full range of motion is allowed. At 6 weeks, the patient can begin to decrease the use of crutches and may discontinue them completely when they are able to walk without a limp. A stationary bike may be used at the 6-week mark with strengthening exercises beginning approximately 3 months after surgery. Most patients who do not have arthritis in their knee joint are able to return to full work and sports activities within 5-6 months after surgery.
If you have questions regarding medial patellofemoral ligament reconstruction or are experiencing patellar instability with recurrent dislocations of the kneecap, please contact the orthopedic offices of Dr. James Mazzara, knee surgeon in Manchester, South Windsor, Enfield, Glastonbury and surrounding Hartford communities.