MPFL Reconstruction

The medial patellofemoral ligament (MPFL) is one of the primary ligaments that helps keep the kneecap (patella) properly aligned within the groove of the thighbone. When the kneecap dislocates, the MPFL is often stretched or torn, leading to ongoing instability, pain, and repeated dislocations. If conservative treatments do not provide adequate stability, MPFL reconstruction may be recommended to restore normal knee function. At Allyson Estess, MD, MPFL reconstruction is performed using advanced surgical techniques to rebuild the damaged ligament and improve kneecap stability. Every treatment plan is personalized based on your anatomy, activity level, and severity of instability. Combined with a structured rehabilitation program, the goal is to reduce pain, prevent future dislocations, and help you safely return to your daily activities and sports.

What is MPFL reconstruction?

MPFL reconstruction is a surgical procedure that replaces the damaged medial patellofemoral ligament with a tendon graft. The new ligament helps keep the kneecap properly aligned and prevents it from moving excessively toward the outside of the knee.

The procedure is commonly performed after recurrent kneecap dislocations or when the original ligament has been severely damaged. It is often completed using minimally invasive techniques and may be combined with other procedures if needed to improve knee alignment.

Frequently Asked Questions

Who is a candidate for MPFL reconstruction?

MPFL reconstruction may be recommended for patients who experience repeated kneecap dislocations, persistent feelings of instability, or ongoing pain despite physical therapy, bracing, and other non-surgical treatments.

Your orthopedic specialist will perform a comprehensive evaluation, including a physical examination and imaging studies such as X-rays or MRI, to determine whether MPFL reconstruction is the most appropriate treatment for your condition.

What is recovery like after MPFL reconstruction?

Recovery begins with protecting the reconstructed ligament while allowing the knee to heal. Patients may wear a brace and use crutches for a short period, followed by gradually increasing weight-bearing and range of motion under medical guidance.

Physical therapy is a key part of recovery and focuses on restoring flexibility, strengthening the muscles around the knee, improving balance, and safely returning to normal activities. Recovery timelines vary depending on individual healing and rehabilitation progress.

Will I be able to return to sports after MPFL reconstruction?

Many patients are able to return to recreational activities and sports after completing rehabilitation and receiving clearance from their orthopedic surgeon. The timing depends on the extent of the injury, the success of healing, and the recovery of knee strength and stability.

Your rehabilitation program will include sport-specific exercises that help prepare the knee for higher levels of activity while reducing the risk of reinjury and improving long-term function.

What are the benefits of MPFL reconstruction?

MPFL reconstruction helps restore kneecap stability, reduce the risk of future dislocations, and improve overall knee function. By rebuilding the damaged ligament, the procedure can relieve pain, improve confidence during movement, and support better joint mechanics.

With expert surgical care and a personalized rehabilitation plan, many patients achieve lasting improvements in stability, mobility, and quality of life, allowing them to return to work, exercise, and everyday activities with greater confidence.

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