MPTL (Medial Patellotibial Ligament) reconstruction

The surgical treatment for patellar subluxation and related pathology described in this chapter is based on dynamic distal extensor mechanism reconstruction rather than a static correction of distal attachments. It is extremely rare for us to proceed with surgical treatment if the patient has not undergone an intensive specific customized rehabilitation program. The rehabilitation period should finish with functional tests to verify the patient's ability to perform normal unrestricted sports activities. We believe that is not acceptable to adjust the performance to knee symptoms. Only in cases of failure of nonoperative program do we proceed with surgical treatment. © 2010 Springer-Verlag Berlin Heidelberg.