We can go back and forth on this topic foreverÖ but yb made one of the most honest points here: there is much unknown about this topic yet. Weíve all learned and educated ourselves on what is relevant/logical/important to us.
There is general agreement by us, and the people that actually matter (PF surgeons, researchers, specialists) That lateral restraints are important for stability. Past that, top PF docs have their own theories about how best to manage. And in some ways they are all right, as all are having success. I suspect 10 years from now, this conversation may be very different as more is learned, long term results are blended and help shape the education of the doctors of tomorrow. Truly, I wouldnít want the Ortho community on a whole jumping on every supposed new and improved procedure out there until long term results have been garnered (letís be honest, I think thatís how we ended up with the over-used LR?!). With medical research, education, change can be slow. MPFLr is a great example. Many of the top docs started doing them about 10 years ago, itís now just becoming a common procedure among the ortho community on a whole.
Iím not saying it doesnít happen or untrue: but Iíve never heard of, or read about anyone who has had their LPFL reconstructed for Lateral Instability? I agree that a LR can make lateral instability worse potentially, but never seen the fix to be an LPFLr? Iíd be curious of any stories/experiences with this out there? Iíve only seen it w/ dx of medial instabilityÖ