MPFL Reconstruction

What is MPFL reconstruction?

MPFL (medial patellofemoral ligament) reconstruction is a surgical procedure used to treat recurrent instability or dislocation of the kneecap (patella). The MPFL is a key ligament that helps keep the patella correctly positioned during movement.

Dr Varun Arora performs MPFL reconstruction for patients across Melbourne and regional Victoria who experience ongoing patellar instability, using a tendon graft to reconstruct the damaged or stretched ligament.

What is involved in MPFL reconstruction?

Graft preparation

A tendon graft is prepared, which will be used to reconstruct the damaged ligament.

Tunnel preparation and fixation

Small tunnels are created in the patella and femur, and the graft is passed through and secured in a position that restores normal patellar tracking.

Testing

The surgeon tests the movement and tracking of the kneecap through a range of motion before closing the incision.

Recovery

Recovery typically involves a period of bracing and protected movement, followed by a structured physiotherapy program to restore strength, movement, and stability.

General risks overview

As with any surgical procedure, MPFL reconstruction carries risks. Potential risks and complications can include:

  • Infection

  • Blood clots

  • Stiffness

  • Recurrent instability

  • Graft failure

  • Nerve or blood vessel injury

  • Risks associated with anaesthesia

This is a general overview and not a complete list. Dr Arora will discuss the risks and benefits relevant to your individual case in detail.

MPFL Reconstruction Frequently Asked Questions

Who needs MPFL reconstruction?

This procedure is generally considered for patients with recurrent patellar instability or dislocation, particularly when non-surgical treatment has not resolved the problem.

How long is recovery?

Recovery involves a period of bracing followed by gradual rehabilitation, with timeframes varying between individuals.

Can the kneecap dislocate again after surgery?

While MPFL reconstruction significantly reduces the risk of further dislocation, no surgery can guarantee this will not occur again.

Knee Surgery in Melbourne

If you would like to discuss your symptoms or treatment options, contact Dr Varun Arora to schedule a consultation.