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Best Doctor List Near You for Medial Patellofemoral Ligament Reconstruction in Bloomfield hills
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Medial patellofemoral ligament reconstruction is a specialized surgical procedure aimed at restoring stability to the patella, or kneecap, following injury or damage to the medial patellofemoral ligament (MPFL). The MPFL is a critical ligament that serves to stabilize the patella during knee movement, particularly in preventing lateral dislocation. Damage to this ligament often results from acute traumatic injuries, such as those seen in sports-related activities, where excessive lateral force or direct impact may result in dislocation of the patella. Chronic conditions, often seen in athletes or active individuals due to repetitive stress, can also weaken the MPFL, causing instability in the knee joint. Symptoms of MPFL injury typically include pain around the kneecap, swelling, and a sense of instability, particularly when engaging in activities that involve squatting, jumping, or pivoting. During the surgical procedure, the surgeon begins by making small incisions around the knee to utilize arthroscopic techniques. This minimally invasive approach allows for precise visualization and assessment of knee structures, including the patella and the surrounding ligaments. The torn or damaged MPFL is then reconstructed using a graft, often harvested from the patient's own tissue, such as from the hamstring tendon or a portion of the quadriceps tendon. The choice of graft is crucial as it needs to provide sufficient strength and durability to support the patella effectively. After preparing the graft, the surgeon anchors it to the femur and patella using hardware, ensuring that the new ligament secures the patella in its correct position. Post-surgery, patients typically undergo a structured rehabilitation program which includes physical therapy to strengthen the surrounding muscles and improve knee function. The initial recovery phase focuses on reducing swelling and pain while gradually reintroducing movement and weight-bearing activities. As the patient progresses, rehabilitation emphasizes restoring strength, flexibility, and stability to facilitate a safe return to previous activities, including sports. Most patients can expect significant pain relief and improved function following MPFL reconstruction, with many able to resume normal activities within a few months. However, the success of the surgery largely depends on the severity of the initial injury, adherence to rehabilitation protocols, and individual healing responses. Complications such as re-dislocation, graft failure, or stiffness can arise but are relatively rare when the procedure is properly indicated and executed. In essence, MPFL reconstruction serves as a vital intervention to restore knee functionality and enhance the quality of life for individuals suffering from patellar instability, allowing them to engage in their preferred activities without fear of recurrence.
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