Enhanced early rehabilitation and pain management with all-arthroscopic medial patellofemoral ligament reconstruction: A comparative study.

Purpose: The purpose of this study was to evaluate the accuracy of femoral tunnel location, post-operative pain management, functional rehabilitation and clinical outcomes in medial patellofemoral ligament (MPFL) reconstruction using all-arthroscopic technique. Methods: Between 2020 and 2021, 160 patients with recurrent patellar dislocation undergoing MPFL reconstruction were categorized into control (traditional surgery) and study (all-arthroscopic technique) groups. Femoral tunnel accuracy was assessed via computed tomography scans, pain management, functional rehabilitation, knee range of motion and daily activities were evaluated up to 6 months post-operatively. Knee function was assessed using Kujala and Lysholm scores at post-operative 12 months. Results: Seventy-one patients in the control group and 69 patients in the study group reached the final follow-up with no demographic differences. Follow-up duration was 12.65 ± 0.68 vs 12.77 ± 0.73 months in the control and study groups ( Conclusions: The all-arthroscopic technique for MPFL reconstruction in recurrent patellar dislocation ensures precise femoral tunnel placement. It offers advantages in early post-operative pain management and functional recovery, enabling faster rehabilitation compared to traditional non-all-arthroscopic techniques. Level of Evidence: Level III.