MPFL repair/STARR

We use the STARR approach for Medial Patellofemoral Ligament repair, using a bio-engineered scaffold and the body’s own tissue to promote healing.

At a glance

About

Minimally-invasive solution to torn MPFL/kneecap dislocations

Effective
Referrals

Not Needed

Booking

Instant-book option available

Cost
£ 9000
  • Lincolnshire £ 9,800

Nature of MPFL repair/STARR

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.

Common causes of knee injury/instability

Knee instability that requires MPFL repair often results from repeated patellar dislocations or trauma, including:

Kneecap dislocation: Sudden outward movement of the patella can tear the MPFL, leading to 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 for MPFL repair/STARR

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.

Suitable for

Treatment overview

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.

Benefits

Minimally invasive

Encourages the body’s own healing response, supporting natural regeneration

Can improve long-term joint function with reduced likelihood of arthritis development

90% return to sport after full recovery

How to Pay

We offer a range of flexible payment options to make your treatment experience smooth and stress-free.

Paying for Yourself (Preferred Option)

Most patients choose to self-fund their treatment. We accept:

Instalment Plans

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.

Finance Options

Looking for a financing plan? You can apply through Kandoo, our trusted finance partner.

Private Medical Insurance (Limited Availability)

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.

The booking process

Online booking/call

Use our Calendly to book an initial consultation, or give us a call.

01

Consult

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.

02

Treatment

Once your scan results have been reviewed, and your doctor has explained your options, you will be booked in for treatment.

03

Rehab

Following your treatment, your doctor will give you rehab recommendations.

04

Follow up

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.

05

Discharge

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.

06

Frequently Asked Questions

How do I know this treatment is right for me?

STARR MPFL repair is usually recommended for patients who have recurring kneecap dislocations. It’s also a possible solution for those who have specific anatomical conditions that lead to knee instability.

Recovery time involves a period of immobilisation followed by some physical therapy. The actual recovery time will depend on the extent of the procedure and the extent of your presenting condition. However, most patients experience full recovery within 6-9 months, and more than 90% return to sport.

Schedule A Discovery Call With Us

Don’t wait to find relief. Whether it’s a consultation, scan, or treatment, we’re ready to help.

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