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Reza Omid, MD Assistant Professor of Clinical Orthopedic Surgery Shoulder and Elbow Reconstruction & Sports Medicine O: (323) 4425680 F: (323) 4426990 Patient Name: Date: PATELLARSTABILIZATION/PRECONSTRUCTION
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How to Fill Out Patellar Stabilization/MPFL Reconstruction:

01
First, gather all the necessary documents and forms related to the procedure. This may include the patient's medical history, consent forms, and any pre-operative instructions provided by the surgeon.
02
Ensure that all personal and demographic information is accurately filled out on the forms. This includes the patient's full name, date of birth, address, and contact information.
03
Provide details about the specific procedure being performed, which in this case is patellar stabilization/MPFL reconstruction. Include the surgeon's name and any other relevant information about the surgery.
04
Document any pre-operative assessments, such as imaging results or physical exams, that have been conducted to evaluate the patient's condition before the surgery.
05
Clearly outline the goals and objectives of the patellar stabilization/MPFL reconstruction. This may include improving knee stability, reducing pain, and restoring normal function.
06
Fill out the surgical consent form, ensuring that the patient fully understands the risks, benefits, and potential complications associated with the procedure, and that they provide their informed consent.
07
If applicable, include any additional procedures or interventions that will be performed in conjunction with the patellar stabilization/MPFL reconstruction.
08
Provide any necessary post-operative instructions or follow-up care that the patient needs to be aware of, such as medication management, physical therapy recommendations, and scheduled appointments.
09
Finally, review all the information provided on the forms for accuracy and completeness before submitting them to the appropriate healthcare provider for processing.

Who Needs Patellar Stabilization/MPFL Reconstruction:

01
Individuals who have experienced one or more episodes of patellar dislocation or instability.
02
Those who have failed non-surgical treatments, such as physical therapy or bracing, to address patellar instability.
03
Individuals with specific anatomical or biomechanical factors that contribute to patellar instability, such as a shallow trochlear groove or a torn medial patellofemoral ligament (MPFL).
04
Patients who have persistent pain or functional limitations due to patellar instability, affecting their ability to engage in regular activities or sports.
05
Individuals who have undergone previous patellar stabilization surgeries that have failed to provide satisfactory results.
06
Patients with a high risk of recurrent patellar dislocations, such as those with ligamentous laxity, trochlear dysplasia, or a history of multiple dislocations.
07
Those who have undergone thorough evaluation and assessment by an orthopedic surgeon, who has determined that patellar stabilization/MPFL reconstruction is the most appropriate and effective treatment option for their specific condition.
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Patellar stabilizationmpfl reconstruction is a surgical procedure to treat patellar instability by reconstructing the medial patellofemoral ligament (MPFL) for stabilization of the patella.
Patients with patellar instability and recommendation from their healthcare provider may be required to undergo patellar stabilizationmpfl reconstruction.
Patellar stabilizationmpfl reconstruction is typically filled out by the surgeon performing the procedure and the patient undergoing the surgery.
The purpose of patellar stabilizationmpfl reconstruction is to improve patellar stability and reduce the risk of recurrent dislocations or instability.
Information such as patient demographics, medical history, surgical details, and post-operative care instructions must be reported on patellar stabilizationmpfl reconstruction.
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