BIOS Core Topics Webinar - Common Topics in Knee

Description

The webinar presentation covers a comprehensive overview of key concepts related to patella instability and its management. The speaker begins with a heartfelt thank you to BIOS for the opportunity to discuss this clinically relevant topic, particularly highlighting the multifactorial nature of recurrent patellar instability which may occur in up to 71% of patients after their first incident.



Emphasis is placed on the importance of understanding the biomechanics governing patellar stability—specifically the roles of various soft tissues like the medial patellofemoral ligament (MPFL) and the vastus medialis obliquus (VMO) that provide stability in different degrees of knee flexion. The speaker describes critical clinical assessments including the tracking and height of the patella, and the dynamic stability tests like single-leg squats that can reveal underlying muscular weakness contributing to instability.



Attention is also directed towards the imaging strategies and anatomical classifications used to evaluate patellar dysplasia, with discussions on the patella troclea index and its clinical implications. The validity of both non-operative treatments—such as strengthening and stretching protocols—and surgical interventions, such as MPFL reconstruction techniques or tibial tubercle osteotomy, are explored in detail. Significant attention is given to the procedural considerations during surgery, including the importance of alignment and balanced tensioning of the knee structure—factors that influence long-term outcomes and patient satisfaction post-surgery.



Throughout the presentation, the speaker integrates case studies and personal insights to demonstrate the challenges of addressing patellar instability, discussing the role of patient education in managing expectations around surgical outcomes. The session concludes with a call for thorough preoperative planning, proper assessment of soft tissue balance, and the critical understanding of both anatomical and pathological factors impacting successful patellar stabilization.

DOI: 10.1302/3114-221848

Specialties