Knee Cap (Patellar) Problems and Instability
Knee cap (patellofemoral) instability occurs when the knee cap does not slide centrally within the groove of the thigh bone. The knee cap can be tilted, partially come out of the groove (subluxation) or completely come out (dislocation).
Understanding the causes for such instability has become greater over the years and with individual diagnosis Professor Ghoz can decide what is the best course of action for each patient.
The three most common causes for dislocation are traumatic dislocation, trochlear dysplasia (flattening) and maltracking secondary to bone malalignment. When the underlying cause is understood then the appropriate treatment can be implemented.
Surgery is usually a last resort in the management of patellofemoral pain. It may be effective in preventing recurrences of dislocation, prevent patellofemoral impingement and reduce pain. The aim is always to enable all patients to get back to their normal active daily routines if possible.