Description
This presentation by Dr. Chinmay Gupteshines a light on patellar femoral dislocation, a condition not widely prevalent but one that can lead to severe disability due to its recurrent nature and potential for osteochondral injuries. Dr. Guptes discusses the prevalence and etiology of these injuries, particularly the susceptibility seen in teenagers due to hormonal and structural changes during puberty. He emphasizes the importance of thorough physical examination and the patient's history, particularly regarding hyperlaxity, prior dislocation events, and associated symptoms such as locking and swelling.
Diagnostic techniques including radiographs and MRIs are covered, highlighting that some osteochondral injuries may be missed on standard imaging. The talk tackles the complex decision-making involved in treating these injuries, discussing whether to repair them surgically or utilize alternative methods such as chondral replacements. Various fixation options, including bioabsorbable screws and chondral scaffolds, are analyzed, underscoring the surgeon's expertise in choosing the appropriate intervention based on multiple factors like the defect's size and the patient's health.
Illustrative case studies are incorporated into the talk, detailing specific injuries and the surgical techniques employed to address them. The discussion transitions to the topic of patellar stabilization, especially in cases prone to recurrent dislocations, where options such as medial patellofemoral ligament (MPFL) reconstruction are explored. Understanding the balance between repair and reconstruction is deemed crucial for effective long-term outcomes. Dr. Gupta concludes with an emphasis on the necessity for vigilance regarding osteochondral injuries and advocates for immediate MRI referral in ambiguous cases, encouraging the fixing of even chronic injuries when feasible.