Medial Patellofemoral Ligament
(MPFL) ReconstructionAim of Surgery
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– 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
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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
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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
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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 (6 weeks)
– Right leg (6 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
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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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Spire Hospital
170 Barlow Moor Road
Manchester
M20 2AF