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- Talk
- 14/07/2021
- UK
Patellofemoral Disorders: Pain and/or Instability
Description
In this presentation, surgeon Jack Farr discusses patellofemoral disorders, focusing on pain, instability, and treatment decisions. He begins with an overview of patellofemoral disorders, emphasizing that pain can have multiple causes and may often result from prolongated issues that respond well to core therapy programs. He highlights the importance of using qualified therapists familiar with core-to-floor therapy to address these conditions.
He delves into the complexities of diagnosing recurrent patella instability, which can be verified through patient history and MRI findings. Farr underscores that true pain in these patients is generally due to issues with the bone rather than the cartilage itself.
The majority of patients typically benefit from non-operative management. However, when discussing surgical options, Farr emphasizes the necessity of understanding the location and nature of chondral lesions for effective treatment. He differentiates between isolated procedures and those that may require cartilage restoration, depending on the patient's age and condition.
Farr explains the significance of mechanical factors in treatment planning and discusses various procedures, including anteromedialization of the tibial tuberosity and MPFL reconstruction, focusing on restoring stability for patients with recurrent instability. He also addresses the rarity of using certain procedures, like lateral release and trochleoplasty, in his practice.
The discussion progresses to the importance of assessing TT-TG measurements and how these inform surgical interventions. Through detailed analyses, Farr provides a comprehensive view of how to treat chondral lesions, recognize treatable lesions, and the relevance of cartilaginous restoration techniques.
Towards the end, Farr discusses the limits of cartilage restoration, illustrating cases that require advanced interventions like patellofemoral arthroplasty due to substantial bony erosion. He concludes with a heartfelt thank you and a mention of the availability of his training videos on his YouTube channel.