How to Prepare for Medial Patellofemoral Ligament Surgery?

What is the Goal of MPFL Surgery?

The main purpose of medial patellofemoral ligament surgery is to restore stability to your knee. The procedure involves creating a new ligament, often using a graft from your own hamstring tendon or a donor tendon.

This new ligament is fixed in place to do the job of your original MPFL, preventing the kneecap from dislocating again. It is a common and effective surgery for those who experience recurrent dislocations.

Your preparation begins well before the day of surgery. Taking the right steps early can help you have a smoother procedure and recovery.

1. Have a Pre-Operative Consultation
   You will meet with your surgeon and their team for a detailed appointment. This is your opportunity to ask any questions you have about the surgery, the recovery timeline, and what you can expect. Your surgeon will explain the specifics of the procedure and address your concerns.
2. Manage Your Physical Health
   Getting your body ready is a key part of the process.
   • Pre-habilitation (“Pre-hab”)
     Your physical therapist will likely give you exercises to start before surgery. These often focus on maintaining your range of motion, reducing swelling, and strengthening the muscles around your knee. A stronger knee going into surgery can lead to a better recovery afterward.
   • Manage Swelling
     If your knee is swollen, use the RICE principle—Rest, Ice, Compression, and Elevation—in the days or weeks leading up to your procedure.
3. Prepare Your Home for Recovery
   You will spend a lot of time at home with your mobility limited after surgery. Setting up your living space ahead of time is very helpful.
   • Create a Comfortable Space
     Choose a main-level area where you can rest, with easy access to items you need.
   • Gather Supplies
     Have ice packs or a cold therapy unit ready. You may also need pillows for elevation.
   • Clear Walkways
     Move rugs, electrical cords, and furniture to create clear paths for moving around, especially if you will be using crutches.
   • Stock Up
     Get groceries, prescriptions, and other essentials beforehand.
4. Arrange Your Support System
   You will not be able to drive for some time. Arrange for a family member or friend to drive you to and from the surgery clinic. It is also a good idea to have someone stay with you for at least the first 24-48 hours to help with meals, medications, and other tasks.
5. Follow Fasting and Medication Instructions
   Your surgical team will give you specific instructions about when to stop eating and drinking the night before your surgery. They will also tell you which of your regular medications you can take and which to pause before the procedure. Following these directions carefully is important for your safety.

The Day of Your MPFL Surgery

Wear loose, comfortable clothing that is easy to get on and off. A pair of shorts or loose-fitting pants would work well. Leave valuables at home. Arrive at the facility at your scheduled time, and the team will guide you through the admission process.

Looking Ahead

Preparing for medial patellofemoral ligament surgery is an active process. By taking these steps, you invest in your own recovery and take charge of your journey back to an active life.

If you are seeking expert care for knee instability, our specialist at the clinic of Barrett S. Brown, M.D.—a leader in orthopedic medicine—offers comprehensive evaluation and treatment for patellofemoral conditions, including medial patellofemoral ligament surgery.

Contact our clinic at (346) 247-2531 to schedule your appointment today!