Mpfl and ttt surgery It is recognized that many patients will be pain free relatively early in their rehabilitation and want to advance to higher level activities as a result. May 19, 2020 · To compare and contrast the various rehabilitation protocols for medial patellofemoral ligament (MPFL) reconstruction and MPFL reconstruction plus tibial tubercle osteotomy (TTO) published online by academic orthopaedic surgery residency programs and private practice institutions throughout the United States. ) Progress to your normal diet if SURGERY SPECIFIC INFORMATION TTT + MPFL Tibial Tubercle Transfer/Osteotomy and Medial Patellofemoral Ligament Reconstruction What makes me a candidate for this surgery? kneecap dislocation) and front knee pain. Apr 8, 2015 · Background The medial patellofemoral ligament (MPFL) is a ligament on the medial apsect of the knee which helps stabilize the patella against lateral movement. TTO can be performed in conjunction with Medial Patellofemoral Ligament Reconstruction (see MPFL Reconstruction) or cartilage repair surgery. Assistant Professor of Orthopaedic Surgery, Columbia University Medical Center Chief of Sports Medicine, New York-Presbyterian Westchester Director of Clinical Outcomes, Department of Orthopaedic Surgery Head Team Physician, Columbia University Post-operative Rehabilitation Protocol Medial Patellofemoral Ligament (MPFL) Reconstruction WITH TTO In these cases the TTT is often perform to reduce the compressive load on this area to enhance healing and reduce further wear and tear in that area. It involves removing a small piece of bone on the front of the shin bone and reattaching it with anchors or screws to a different position. Ideal candidates for TTO surgery include: History of multiple patellar dislocations History of patellar and femoral pain Physical therapy has been exhausted Non-surgical management has failed How is a TTO surgery performed? Kneecap realignment surgery, also known as patellar realignment or patellofemoral realignment surgery, is a procedure designed to correct problems related to the position and movement of the kneecap (patella). Lateral Trochlea Elevation - still unstable after above operations - small lateral Your first post-op appointment is about 7-10 days from surgery. The most common procedures that are used for a dislocating patella are, Medial Patello-Femoral Ligament (MPFL) Reconstruction, Tibial Tubercle Transfer (TTT) and Lateral Release. Learn more. TTO can also be performed in conjunction with MPFL reconstruction or cartilage repair surgery. (2) An effective rehabilitation program is critical to a successful outcome following such a surgical procedure. Synonyms for these keywords were expanded, and search precision was limited through specific combinations. Discover MPFL reconstruction surgery by Dr. REHABILITATION PROTOCOL MPFL Rehabilitation (for Medial Patellofemoral Ligament Reconstruction) in Adults and Paediatrics This protocol is a general guide to MPFL rehabilitation. Dec 1, 2019 · Medial patellofemoral ligament (MPFL) reconstruction is commonly used to treat patellofemoral instability by restoration of the checkrein to lateral patellar translation. Post-operative Rehabilitation Protocol Medial Patellofemoral Ligament (MPFL) Reconstruction / Tibial Tubercle Osteotomy (TTO) / Trochleoplasty Tibial Tubercle Transfer at HSS At the Patellofemoral Center at the Hospital for Special Surgery (HSS), patients with pain and/or instability undergo a thorough assessment that includes a physical examination and patient history. Day, K. I tore my mpfl just about a month ago and had surgery that same week. Tibial tubercle osteotomy (TTO) and reconstruction of the medial patellofemoral ligament (MPFL) have been used successfully as a surgical treatment for lateral patella instability in the native knee [3 – 5]. Glass, and R. Post-Op Instructions for MPFL Reconstruction (Patellar Stabilization) DIET Begin with clear liquids and light foods (jello, soups, etc. Surgery time may vary slightly based on the complexity of your injury and procedures required. This protocol is time based (dependent on tissue healing) as well as criterion based. Hess will spend the required time to ensure any identified reasons for your symptoms are addressed. It also helps spread the load applied to the joint What happens during my surgery? A tibial tubercle or tuberosity transfer (TTT) is a surgical procedure to realign the tracking of the kneecap (patella). Duchman, N. The search formula was determined by arranging and combining the keywords, as detailed in Jan 20, 2025 · Dr. What to expect after surgery • Swelling is common after surgery. When the kneecap dislocates towards the outside his stretches the ligament on the inside of the knee, which is trying to keep the kneecap in place. The timeframes for Tibial osteotomy in combination with a medial patellofemoral ligament reconstruction surgery is a painful procedure. The time scales are an approximate guide and may be altered depending on various factors such as pain, swelling and muscle control. Please bring any operative pictures with you to this appointment to enhance your understanding of your surgery. com Medial Patellofemoral Ligament Reconstruction with Tibial Tubercle Osteotomy Protocol Revised 2023 determinants for advancement. The primary objective of this retrospective study is to compare patient outcomes following a combined approach (MPFL reconstruction and TTT) to outcomes reported in the literature by patients who required either only an isolated TTT procedure to Nov 13, 2023 · MPFL reconstruction is a surgery in which a new medial patellofemoral ligament is created to stabilize the knee and protect the joint. It allows the large quadriceps muscles of your thigh to pull across the front of the knee acting on the patellar tendon to straighten the knee. The goal of the surgery is to improve patellar tracking and stability, alleviate pain, and take pressure off of the cartilage. ly/2M4Ko0c📸 In Post-operative Rehabilitation Protocol Medial Patellofemoral Ligament (MPFL) Reconstruction MPFL stands for Medial Patellofemoral Ligament. D. Medial patellofemoral ligament reconstruction in skeletally immature patients: a systematic review and meta Patient Information and Rehabilitation Guidelines for Medial Patello-femoral Ligament (MPFL) Reconstruction and Trochleoplasty and Tibial Tubercle Transposition This booklet aims to improve your understanding of medial patella-femoral ligament reconstruction, trocheoplasty and tibial tubercle transposition. This can result in eit cartilage, why is it important, and how what to expect before and after a MPFL, TTT, and Cartilage Graft about me: i'm a 25-year-old, 6' tall woman with slight hyper-flexibility and a family history of orthopedic issues. My YouTube MPFL Reconstruction and Tibial Tubercle Osteotomy Physical Therapy Protocol David P. A MPFL reconstruction surgery uses a ligament from somewhere else in the body to reconstruct this ligament stabilizing the patella. 7(6): DOI: 10. The upper end of the shin bone (tibia) and the attachment of the patellar tendon to bone are exposed. I cant answer any of your questions just yet, but happy to share when i can. Because the patients undergoing medial patellofemoral ligament reconstruction (MPFLr) combined with medial tibial tubercle transfer (TTT) procedure are usually young and active, the quality of life (QoL) is also an important prognostic factor for . The knee cap or patella acts as a pulley at the front of the knee. Oct 28, 2024 · The search keywords identified were: medial patellofemoral ligament, MPFL, reconstruction, MPFLR, tibial tubercle, osteotomy, transfer, TTO, TTT. The first is Tibial Tubercle Transfer (TTT) and the second is Medial Patellofemoral Ligament Reconstruction (MPFL). Rehabilitation Protocol for MPFL Reconstruction This protocol is intended to guide clinicians through the post-operative course for MPFL reconstruction. Sep 9, 2023 · Forest plot of the comparison of postoperative Caton–Deschamps index (CDI) between the medial patellofemoral ligament reconstruction (MPFLR) and MPFLR+ tibial tubercle transfer (TTT). Full recovery and return to sports after MPFL surgery is generally in the realm of 4-6 months. Patellofemoral stabilization: postoperative redislocation factors following surgery. 3. This video shows my experiences during the initial three days after surgery. This is evaluated through you What is the medial patellofemoral ligament (MPFL) and how is it damaged? What happens at each visit? What’s the rehab timeline? After your surgery you will have follow-up appointments around 2 weeks, 6 weeks, and 3 months post-op. In addition to the MPFL reconstruction, sometimes other procedures are needed including repair of cartilage damage, removal of loose bodies or cutting and repositioning of Specialists at JUPITER Study in Cincinnati, OH offer knee arthroscopy, MPFL reconstruction, tibial tubercle osteotomy, tibial tubercle transfer, distal femur osteotomy and cartilage procedures. 88 Likes, TikTok video from Gabby - MPFL & TTT surgery (@gabbympflandttt): “Explore the humor and reality of knee surgery recovery. This surgery for knee cap maltracking is also called patellofemoral realignment. Tibial Tubercle Osteotomy (TTO), also referred to as Tibial Tubercle Transfer (TTT), is a technique used in the treatment of patellofemoral disorders. Patellar instability can be treated with both surgical and non-surgical methods, including by performing knee arthroscopy, MPFL reconstruction, or TTT. I had MPFL Surgery on my left knee in September of 2022 and have my right knee scheduled for June 2023. Typically, patients are young, participate in sports, have not had previous surgery, and have good bone quality [6]. Abstract Patellofemoral instability is a painful and often recurring disorder with many negative long-term consequences. Tibial tubercle osteotomies are important surgical techniques in the operative management of patellar instability and patellofemoral pain. Hannah's channel: https://www. MPFL reconstruction (with TTT, or if TTTG < 20) - acts as checkrein to lateral displacement - usually harvest hamstring autograft - medial incision - beware overtightening (will give pain) / patella fracture (drill holes in patella) - reassess for stability 4. Brett Raynor, MD, in Dallas, TX. I still am non weight bearing at the moment, but am allowed to beat weight next week depending on how x rays go. Keywords: Medial patellofemoral ligament, Failed medial patellofemoral ligament reconstruction, Trochleoplasty, 3D-CT in patellofemoral surgery Core tip: An increasing number of revision surgeries of the reconstructed medial patellofemoral ligament (MPFL) will be seen in the foreseeable future. You will be provided with a prescription for pain medication on discharge from hospital. The length of time until patients are able to return to driving varies depending on the specific surgery and which leg is involved. You will remain in your brace for the first 6 weeks. Patellofemoral arthritis due to a maltracking patella. In sp In these cases, a concomitant tibial tubercle transfer (TTT) with MPFL reconstruction has been advocated in order to achieve successful surgical outcomes for patients with chronic lateral patellofemoral instability. Please note that these instructions are general guidelines to be followed; however, any written or verbal instructions provided by Dr. Twenty-three What is the medial patellofemoral ligament (MPFL) and how is it damaged? when someone dislocates his/her patella. Dr. This ligament may be injured in a patella dislocation. The second part of the surgery requires an incision, that is, an open procedure. The Orthopedic Journal of Sports Medicine, 2019. MPFL Reconstruction with Tibial Tubercle Osteotomy Physical Therapy Protocol The following rehabilitation guidelines and protocol are developed for patients who have undergone MPFL (medial patellofemoral ligament) reconstruction WITH bone realignment procedure (tibial tubercle osteotomy) for patellar (kneecap) instability. Ice and elevation are recommended. Tibial tubercle transfer (TTT), also known as tibial tubercle osteotomy (TTO), or Fulkerson osteotomy, is a surgical procedure that is performed to correct lateral displacement of the tibial tubercle. What often happens is people have had one surgery or the other (or both) and they’re looking for information about what to expect after surgery, when they will regain range of motion, and a positive story during their own recovery. This is determined by a detailed clinical assessment of your Q-Angle and J-sign and xray measurement of your tibial tubercle to trochlear groove (TT-TG) distance. Sep 11, 2017 · MPFL Reconstruction - Adult Brandon Erickson MD Rothman Orthopaedics, Manhattan Comments MPFL Reconstruction with Tibial Tubercle Osteotomy (TTO) Postoperative Instructions Stephanie Mayer, MD Pre-Operative Goals Edema reduction MPFL reconstruction surgery canbe combined with a lateral retinacular release, tibial tuberosity medialization (Elmslie-Trillat osteotomy) or anteromedialization (Fulkerson osteotomy). After a period of failed nonoperative management, surgical intervention has been used to reduce the incidence of patellar subluxation and dislocations. Twenty-three The tibial tubercle osteotomy (TTO) is a versatile surgical technique used to treat a range of patellofemoral disorders, including patellar instability, painful malalignment, focal chondral defects, and patellar maltracking that have failed Abstract A systematic review of the literature was undertaken to evaluate the efficacy of medial patellofemoral ligament (MPFL) reconstruction combined with tibial tuberosity transfer (TTT) in the treatment of patellofemoral instability. Address patellar instability with our orthopedic expertise. when is your surgery? Rehabilitation Following Medial Patellofemoral Ligament (MPFL) Reconstruction with Tibial Tubercle Osteotomy Follow physician’s modifications as prescribed c to each patient. Brian ChilelliMPFL Reconstruction (with and without TTO) Sep 9, 2023 · The optimal surgical intervention for lateral patellar instability remains a topic of controversy despite satisfactory clinical outcomes and low re‐dislocation rates reported in numerous studies following medial patellofemoral ligament reconstruction The surgery for patella dislocations depends to a large extent on the cause of the instability. You might benefit from TTT if you have: A sore knee cap, patellofemoral pain, or ‘Runner’s knee’. TTT was first described in the early 1900s as a treatment for Combined MPFL (Medial Patellofemoral Ligament) Reconstruction with Plate Assisted TTO (Tibial Tubercle Osteotomy) plus Distalisation This protocol is a general guide to combined MPFL TTO rehabilitation. It’s completely normal to feel a mix of anxiety and hope as you embark on this significant journey. I can't sugar coat anything - I did not have a smooth recovery, my nervous system really fought back which resulted in regular panic attacks and a delay in my recovery because I was too afraid to move. It takes 3 months for your MPFL to heal and 8+ months to complete rehab from surgery. Navigate to learn more. Medial patellofemoral ligament (MPFL) reconstruction successfully addresses patellofemoral instability by restoring the Tibial tubercle osteotomies are only effective in patients who do not yet have bone on bone osteoarthritis between their patella and femur (patellofemoral joint). This protocol is slower than a ligament only surgery, as we must The road to recovering from MPFL and TTO surgery can feel daunting, filled with questions about timelines, pain, and whether you’ll regain your full mobility. Approximately 60 minutes. Specific intervention should be based on the needs of the individual and should consider exam findings and clinical decision making. You will see the PA to review your surgery and have the sutures removed. You will begin physical therapy after two weeks. Westermann. Trofa, M. It takes about 1-2 months to regain your normal gait and full range of motion, 3-4 months to feel a noticeable/significant difference, and about 5-6 months to return to full sports. If the knee cap isn’t running smoothly in the centre of the knee, it can be realigned by tibial tubercle transfer. Dr Ivan Astori offers ligament reconstruction surgery in Brisbane QLD. Using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a systematic search was carried out to identify and review the I have an upcoming MPFL reconstruction and TTO surgery coming up at the end of the month and have been doing as much research as possible and finding all these horror stories. Verma or either Physician Assistant supersede the instructions below and should be followed. Return to driving after surgery is okay once narcotic pain medication has been stopped and you are cleared by your surgeon. See reactions and personal stories of healing and resilience! #kneesurgery #recovery #mpflreconstruction #tttsurgery”. youtube. com/channel/UCtGztyg4hgH2DJOlD1dEZgAHannah's instagram: @hannahr916SUBSCRIBE TO MY CHANNEL http://bit. 1177/2325967119852627. Shamrock, A. , M. When is a patient a candidate for tibial tubercle osteotomy? Aug 29, 2024 · I’ve had quite a few questions lately on my videos about medial patellofemoral ligament (MPFL) reconstruction and tibial tubercle osteotomy surgery. Recurrent patella dislocation. This guide is designed to provide you with a clear, realistic roadmap, […] See full list on kneesurgrelatres. i don't do sports or even really exercise, aside from walking and frequent childcare. Im going in for a TTT, MPFL recc, and ITB release this week. biomedcentral. Phases and time frames are designed to give the clinician a general s Nov 1, 2021 · The primary objective of this retrospective study is to compare patient outcomes following a combined approach (MPFL reconstruction and TTT) to outcomes reported in the literature by patients who required either only an isolated TTT procedure to treat pathologic lateral patellar instability or isolated MPFL reconstruction to treat patellar dislocation due to MPFL insufficiency. Jun 20, 2019 · On 6/14/19, I got a Tibial Tubercle Transfer and a Medial Patellafemoral Ligament (MPFL) Reconstruction. Nov 1, 2021 · The primary objective of this retrospective study is to compare patient outcomes following a combined approach (MPFL reconstruction and TTT) to outcomes reported in the literature by patients who required either only an isolated TTT procedure to treat pathologic lateral patellar instability or isolated MPFL reconstruction to treat patellar dislocation due to MPFL insufficiency. kwh imjw kuxnaix ffhx ftgs jtq lkzevzl mpmn raq evhhrwp xlxjeyp ofele bvo zwzlpl joqf