We use the STARR approach for Medial Patellofemoral Ligament repair, using a bio-engineered scaffold and the body’s own tissue to promote healing.
MPFL repair is a minimally invasive procedure to stabilise the kneecap by reconstructing or reinforcing the medial patellofemoral ligament. STARR (Soft Tissue Anatomical Reinforcement and Reconstruction) is a modern surgical technique that uses a tailored approach to strengthen the damaged ligament while preserving healthy tissue. It improves kneecap tracking, prevents future dislocations, and restores knee function in patients with chronic patellar instability.
Direct impact: Blunt force to the front or side of the knee can damage supporting ligaments.
Ligament laxity: Some patients have naturally loose ligaments, increasing the risk of patellar shifts.
Abnormal anatomy: A shallow trochlear groove or a rotated femur can place more stress on the MPFL.
Previous injuries: Recurrent dislocations weaken the joint and make future injuries more likely.
Diagnosis starts with a clinical examination to assess kneecap tracking, tenderness, and overall joint stability. Patients often describe their kneecap shifting out of place, especially during sports or sudden movements. Imaging tests such as X-rays are used to evaluate bone alignment, while MRI scans help confirm MPFL tears and assess cartilage health. If non-surgical treatments fail and instability continues, MPFL repair with the STARR technique may be advised to restore joint stability and prevent long-term damage.
Who it suits
Kneecap/patella dislocation happens when the kneecap moves out of its normal position. This is often caused by trauma, sudden movement or structural abnormalities. At MSK Doctors, we use the cutting-edge STARR approach to correct the kneecap alignment and prevent ongoing dislocations.
STARR MPFL repair involves reconstructing and strengthening the MPFL, to stabilise the kneecap and help prevent future dislocations. The STARR technique reinforces the affected ligament with the patient’s own tissue and a bioengineered scaffold, which stimulates further ligament growth and durability.
Cost and paying
We offer a range of flexible payment options to make your treatment experience smooth and stress-free.
Most patients choose to self-fund their treatment. We accept:
We’ve partnered with GoCardless to offer interest-free instalment options. You can easily set up a Direct Debit to spread the cost of your treatment over time.
Looking for a financing plan? You can apply through Kandoo, our trusted finance partner.
We work with a small number of approved insurance providers. However, due to restrictions from many insurers, not all treatments are covered. Please check with your insurer and speak to our team before booking to avoid disappointment.
What happens
Use our website to book an initial consultation, or give us a call.
Our doctors might request you arrange a scan before your initial consultation. Or, they’ll chat with you (face to face or online) and recommend a scan after your initial consultation, if they think you need one.
Once your scan results have been reviewed, and your doctor has explained your options, you will be booked in for treatment.
Following your treatment, your doctor will give you rehab recommendations.
You will be booked in for a follow-up consultation, so your doctor can check your progress. You might need further rehab after this consultation.
Once your doctor is happy with your recovery, you will be discharged. After discharge, we are always here for further questions or support, should you need it.
How do I know this treatment is right for me?
What’s the recovery time?
London Cartilage Clinic
We now offer select services at our Harley Street London clinic through the London Cartilage Clinic, led by internationally recognised surgeon Professor Paul Lee.
Our London clinic offers advanced treatments like cartilage regeneration and joint preservation to help patients avoid or delay joint replacement.
Located in Central London, our clinic provides convenient access to world-class musculoskeletal care without long NHS wait times.
If you would like to be seen in Central London, visit our London Clinic page for pricing, available treatments, and to book directly online.
Our Harley Street clinic uses cutting-edge techniques designed to reduce downtime and support faster, more effective recovery, getting you back to your lifestyle sooner.
Free discovery call
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