Surgery For Patella (Kneecap) Instability
Patella (kneecap) dislocation is a very common injury. Most first time dislocations heal without any problems with bracing (usually 6 weeks) followed by physiotherapy.
Kneecap Stabilisation Technique (a technique pioneered by Hersh) – The Knee Journal Oct 2023
Photograph of a dislocated patella.
The medial patellofemoral ligament (MPFL) is a very important knee ligament that is torn or stretched when the kneecap is dislocated. It is the commonest cause of recurrent dislocation.
Symptoms
Recurrent patella dislocation
Feeling that the kneecap is about to dislocate during activity
If the kneecap recurrently dislocates or feels unstable during activity – you may benefit from an MPFL reconstruction. In some cases an MRI is useful to identify any other problems in the knee and to visualise the torn ligament.
End on MRI view of the patella showing a MPFL rupture.
The operation (which is a day case procedure under a general anaesthetic) I use a strong, inert synthetic graft. The graft is attached from the inner side of the kneecap to the inner aspect of the femur. The hamstring graft is tunnelled under the skin. You will have 3 small scars after the operation (3cm on the kneecap, 2cm on inner femur and 3cm inner tibia).
Diagram of the basic surgical technique
After the operation, you will be able to weight bear as pain allows with crutches.
FAQS
A list of our frequently asked question. If you question is not listed below please contact us to find out more.
- How Can I Make an Appointment?You can make an appointment by simply contacting us, we can be contacted via email, phone or by writing to us. Our contact details can be found below or in the contact section. Please call my Practice Manager Gill 01493 452312 or gweb5514@gmail.com to discuss any concerns or queries before booking. You can also click here to arrange a booking. Referrals can be emailed to me at EPCR@jpaget.nhs.uk Private Secretary Gill 01493 452312 gweb5514@gmail.com Write to us at: East Point Consulting Rooms James Paget University Hospital> Lowestoft Road Great Yarmouth NR31 6LA
- Is Your Service Referral Only?
We are open to both GP and self-referral clients.
- What Are Your Procedure Fees?
If you require a quote for a total package price for your procedure, please email sara.hoskin@jpaget.nhs.uk or Treatment Guide Prices | Spire Norwich Hospital (spirehealthcare.com)
- What Do I Need To Bring With Me To My Consultation?
You will need to bring to your initial consultation -
- Valid Identification (EG Passport, Drivers License and others)
- List of any medications
- Referral Letter (If being referred)
- Copies of any medical results (EG X-Rays, CT Scans ETC)
- Are My Records Kept Private & Confidential?Your records are held with the utmost privacy. We will not release you data without being given consent.