MPFL Reconstruction

MPFL Reconstruction (Medial Patellofemoral Ligament Surgery)

By Dr. Kanta Prasad (MBBS, MS – Orthopaedics)What Is the MPFL?

The Medial Patellofemoral Ligament (MPFL) is an important ligament that stabilizes the kneecap (patella) and prevents it from slipping outwards. It plays a key role in maintaining proper alignment of the patella during knee movement.

An injury or tear of the MPFL commonly occurs following recurrent patellar dislocation, leading to pain, instability, and repeated episodes of the kneecap slipping.

What Is MPFL Reconstruction?

MPFL reconstruction is a surgical procedure performed to restore stability to the kneecap by reconstructing the torn MPFL using a tendon graft. The surgery is typically recommended for patients with recurrent patellar dislocation or persistent patellar instability.

Causes & Risk Factors

MPFL injury and patellar instability may occur due to:

  • Recurrent patellar dislocation

  • Sports injuries involving twisting or sudden change in direction

  • Direct trauma to the knee

  • Anatomical factors (shallow trochlear groove, patella alta)

  • Ligament laxity

Symptoms of MPFL Injury

Common symptoms include:

  • Repeated dislocation or slipping of the kneecap

  • Pain around the front of the knee

  • Swelling after dislocation episodes

  • Feeling of giving way or instability

  • Difficulty in sports or daily activities

Diagnosis

Dr. Kanta Prasad evaluates MPFL injuries through:

  • Detailed clinical examination

  • X-rays to assess patellar alignment and bony anatomy

  • MRI scan to confirm MPFL tear and evaluate cartilage injury or associated abnormalities

Treatment Options

Non-Surgical Treatment

May be considered after a first-time dislocation:

  • Knee brace support

  • Pain-relief and anti-inflammatory medications

  • Physiotherapy to strengthen quadriceps muscles (especially VMO)

Surgical Treatment – MPFL Reconstruction

Surgery is recommended for:

  • Recurrent patellar dislocation

  • Persistent patellar instability

  • Failure of conservative treatment

MPFL Reconstruction Surgery

  • Minimally invasive procedure

  • Torn MPFL is reconstructed using a tendon graft

  • Restores patellar stability and prevents further dislocations

  • May be combined with other procedures if anatomical correction is required

Recovery & Rehabilitation

  • Knee brace support in the early post-operative phase

  • Gradual increase in knee motion

  • Structured physiotherapy is essential

  • Return to daily activities in 6–8 weeks

  • Return to sports in 4–6 months

  • Excellent outcomes with proper rehabilitation

When to Consult an Orthopaedic Specialist

Consult an orthopaedic surgeon if you experience:

  • Recurrent kneecap dislocation

  • Persistent anterior knee pain

  • Feeling of kneecap instability

  • Sports-related knee injury


Make an Appointment

Our Specialities

Shoulder Injury

Shoulder Injury

Sports Injury

Orthopedic Treatment

Bone Treatment

Hospital Address

Apex Ranthambore Sevika Hospital

Address:

Apex Ranthambore Sevika Hospital, Vinayak Nagar, Housing Board, Sawai Madhopur, Rajasthan

Consulting Hours:

Monday – Saturday – 10:00am – 05:00pm

Phone:

+91 9782047038

Email:

drkp06@gmail.com

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