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Returning you to recreational sport

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Getting you back on the pitch

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Beating knee pain

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Internationally trained surgeon

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Regaining your independence

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Full range of knee surgery, to suit you

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Andrew Lavender

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Medial Patellofemoral Ligament (MPFL) Reconstruction

MPFL Reconstruction

Aim of Surgery

- To make a new Medial Patellofemoral Ligament (MPFL) and
stop your Knee Cap (Patella) dislocating
- Usually one of the Hamstring Tendons (from the muscles at
the back of your thigh) is used to make the new Ligament
- The tendon is attached to the Knee Cap (Patella) and
femur where the original ligament was


Before Surgery

Pre-Operative Assessment of fitness for surgery:
- This is not normally required unless there are specific
problems with your general health

Contraceptive Pill (OCP):
- It is up to you
- If you wish to stop this for 6 weeks before your surgery and use
a different form of contraception that is acceptable
- If you do not wish to stop using the OCP then please tell us
when you come in for your surgery and we will give you
an injection while you are asleep to help prevent you getting a
blood clot in your leg


In Hospital

Scratches / Cuts
- If you have any scratches, cuts or the like on your leg when you are admitted for surgery then your operation may be
postponed if Mr Lavender believes that these will pose a risk to you getting an infection at the time of your surgery

Consent
- Mr Lavender will come and see you when you arrive. He will get you to sign a form (Consent Form) agreeing to the
operation and explain the risks of the surgery

Discharge
- You will normally stay in hospital overnight

Walking
- You can walk with all your weight on the operated leg as soon as the anaesthetic wears off
- You will be provided with a pair of crutches to help you walk

Physiotherapy
- There will be a lot of this after your operation to ensure that you keep a full range of movement in your knee


Rehabilitation

Stitches
- Mr Lavender usually uses clips. These do not hurt when being removed. They are usually removed after 2 weeks
when you come to see Mr Lavender in the out patients department

Driving
- You are unable to drive for at least:
- Left leg (2 weeks)
- Right leg (2 weeks)

Work
- This depends upon the type of work you do and should be discussed with Mr Lavender. As a rough guide:
- Sedentary work (2 weeks)
- Light work (6 weeks)
- Heavy work (12 weeks)

Sick note
- Mr Lavender will provide you with a sick note if you require one

Kneeling
- This can be done when you feel comfortable

Flying
- You are not allowed to fly for 6 weeks following your surgery, due to the risk of blood clots in your legs

Sport
- Your return depends upon the type of sport you like and should be discussed with Mr Lavender


Follow up

Mr Lavender will normally see you at:
- 2 weeks - Remove clips and brace
- 6 weeks - Ensure your knee goes straight
- 12 weeks - X-Ray and discharge

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