S/P Medial PFL Repair

Definition:
Medial patellofemoral ligament reconstruction is a surgical procedure indicated in patients with more severe patellar instability. Medial patellofemoral ligament is a band of tissue that extends from the femoral medial epicondyle to the superior aspect of the patella. Medial patellofemoral ligament is the major ligament which stabilizes the patella and helps in preventing patellar subluxation (partial dislocation) or dislocation. This ligament can rupture or get damaged when there is patellar lateral dislocation. Dislocation can be caused by direct blow to the knee, twisting injury to the lower leg, strong muscle contraction, or because of a congenital abnormality such as shallow or malformed joint surfaces. After bringing the tendon graft from the medial to the lateral side through the bone tunnel, it turned onto the front surface of the patella where it is sutured. After graft fixation, the range of motion is checked to make sure there are no restrictions in patellar or knee movements. The graft should not impinge or rub against the medial femoral condyle. If it is detected, the graft is replaced into proper position.

Symptoms
  • Knee instability
  • Knee pain
  • Acute or chronic patellar dislocation
Causes
  • Patellar dislocation
  • Knee instability
Treatment
  • Period of immobilization in locked knee immobilizer
  • Massage to reduce swelling
  • Passive ROM and active ROM
  • Quadriceps activation
  • Knee stabilization exercises
  • Lower extremity strengthening
  • Gait program
  • Return to running program
S/P Medial PFL Repair Phase I

Purchase Phase

  • Crutch Walking
  • Patella Mobilization
  • Ankle Pumps
  • Quad Sets
  • Straight Leg Raise
  • Clams
  • Prone Glute Max Knees Bent
  • Heel Slides
  • Passive Knee Extension
  • Vmo Sets 30 60 90
  • SP Medial PFL Repair
  • Weight Bearing Restrictions
  • DVT Clot Instructions

S/P Medial PFL Repair Phase II

Purchase Phase

  • Step Overs
  • Single Leg Wall Sit
  • Straight Leg Bridge
  • Lunge Matrix
  • Stationary Bike
  • Single Leg Speed Skater
  • Adductor Straddle
  • Lotus
  • Passive Knee Flexion
  • Gait II

S/P Medial PFL Repair Phase III

Purchase Phase

  • Step Overs
  • Lunge Matrix
  • Speed Skaters
  • Single Leg Sit Up Squat
  • 3-Dot Squat 2 Hands
  • Single Leg Lateral Box Jump
  • Single Leg Hop On Dina Disc
  • Single Leg Tuck Jump