PatelloFemoral Instability
What is PatelloFemoral Instability?
Patellofemoral instability occurs when the patella (kneecap) repeatedly slips out of its normal groove (trochlear groove) on the femur (thighbone). This can result in pain, swelling, and a feeling of the knee giving way.
When is Surgery Necessary?
Recurrent Dislocations: The kneecap dislocates multiple times.
Subluxations: The kneecap partially dislocates, causing pain and instability.
Persistent Pain: Chronic pain in the front of the knee.
Functional Limitations: Difficulty with activities like walking, running, or climbing stairs.
Surgical Procedures
Medial Patellofemoral Ligament (MPFL) Reconstruction: Repairing or reconstructing the ligament that stabilizes the kneecap.
Tibial Tubercle Osteotomy (TTO): Moving the tibial tubercle (where the patellar tendon attaches) to improve kneecap alignment.
Trochleoplasty: Deepening the trochlear groove to provide better patellar tracking.
Lateral Release: Releasing tight lateral structures that pull the patella out of place.
Recovery
Bracing: A brace is typically worn for a period of time.
Physical Therapy: Rehabilitation is essential for regaining knee strength and stability.
Pain Management: Pain medication is prescribed.
Activity Restrictions: Certain activities are restricted for several months.
Important Considerations
Patellofemoral instability can lead to long-term knee problems if left untreated.
The appropriate treatment depends on the severity of the instability and the patient's individual circumstances.
A through exam and imaging studies are vital for proper diagnosis.
Disclaimer
This information is for general knowledge and informational purposes only and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.