19:51 PM

Less than 25% of pediatric MPFL, osteochondral fracture procedures needed second surgery

Orthopedics Today reports on the findings of an HSS study led by pediatric orthopedic surgeon Daniel W. Green, MD, MS,FAAP,FACS, which found the rate of follow-up surgery was less than 25 percent in pediatric patients undergoing medial patellofemoral ligament (MPFL) reconstruction and osteochondral fracture fixation procedures.

“We know that approximately 10 percent of cases with acute patella dislocation and a relatively significant osteochondral fracture that early surgical stabilization is often necessary,” said Dr. Green. “For the past many years, we’ve done this simultaneously with an MPFL reconstruction with an attempt to try and preserve cartilage going forward.”

Dr. Green and colleagues analyzed data from a retrospective review of 321 MPFL reconstructions performed by a single surgeon between 2011 and 2019. Of the surgeries performed, 38 knees underwent MPFL reconstruction with osteochondral fixation. Patients had an average age of 14.8 years at surgery and average follow-up of 2.1 years. The surgeon used an average of 4.4 biodegradable fixation nails.

Read the full article at Healio.com/news/orthopedics.