Abstract
Recurrent patella dislocation is a well-recognized complication after primary dislocation of the patellofemoral joint. We propose that acute surgical management of the injury minimizes this risk.
Between February 2006 and August 2010 47 patients (49 knees) with a mean age of 17.9 (range 12–31) at the time of surgery who sustained a patellofemoral joint dislocation for the first time were treated with an acute repair of the medial patellofemoral ligament.
Patients presenting to our fracture clinic following a primary lateral dislocation of the patella were investigated with an MRI scan and with consent, proceeded to have an examination under anaesthesia and arthroscopy of the injured knee. An easily dislocatable patella in the presence of a confirmed medial patellofemoral ligament rupture was the indication for open repair.
All patients treated surgically were followed up for a period of 24–72 months where the primary outcome measure was further dislocation. An evaluation of symptoms, functional recovery, restoration of range of movement and patient satisfaction was made supported by the Lysholm knee score.
Our results confirm that acute repair of the medial patella femoral ligament in selected patients reduces the risk of further dislocations and results in a overall good functional outcome and patient satisfaction with minimal complications.
