What are the treatments for patellar dislocation?

For habitual patellar dislocation**, the younger the age, the better the effect. Not only can it solve the problem of dislocation, but it can also avoid secondary deformities. If it is late, deformities such as secondary flexion of the hip and knee joints, and increased lumbar lordosis will appear.

Even osteoarthritis of the knee joint, which affects work and life. Practice has proven that surgery can achieve significant results. There are many surgical methods, but they can be summarized as follows.

a) Soft tissue surgery, including:1Partial tightening suture of the medial knee muscular membrane, joint capsule, and quadriceps muscle expansion.

2.Campbell, medial muscle, muscle pedicle transfer (Krougius). 3.

Tendon transfer surgery, which displaces the medial hamstring muscle and strengthens the medial side of the carritocarus muscle.

2) For patients with internal rotation of the lower femora, knee varus and dysplasia of the lateral femoral condyle, supracondylar osteotomy and lateral femoral condyle elevation (ALBEE) will be performed respectively.

3) Patellar ligament transfer (houser) in children with hemipatellar ligament transfer (goldthwait).

4) Patellofemoral arthroplasty reshapes the patella, deepens the femoral condyle, and places the surrounding soft tissues in between. Meng Jimao proposed that habitual patellar dislocation and local structural development deformities are different, and cannot be solved by one kind of surgery. Depending on the deformity, a combination of surgeries should be used**.

It also advocates the use of vastus medialis muscle displacement to strengthen the medial traction force. The surgical methods are:1

Loosen the soft tissues of the lateral contracture of the knee. 2.Tighten the medial knee and move the vastus medialis insertion to the lateral patella.

3.Houser surgery or goldthwait surgery is done on a case-by-case basis.

If grade 2 to 3 can be taken orally with some nutritional joints and pain relief supplements, dogs above grade 4 need surgery.

1. The examination of patellar dislocation, the first is to ask about the medical history, and the second is to conduct a physical examination, during the physical examination, it can be clearly felt that the patella is detached from the articular surface of the patella, biased to the medial or lateral, but the knee joint movement is obviously limited, and the specific examination can be performed on the front and side of the knee joint, but due to the pain limitation patellar axial film is estimated to be not implemented, the most intuitive examination can be performed three-dimensional CT reconstruction of the knee joint.

2. The mode of patellar dislocation is divided into conservative and operational, which must be evaluated preoperatively, generally in the acute stage, or for the first time patellar dislocation, you can choose conservative ** and perform manual reduction. However, if there is damage or tear in the inner and outer support bands next to the patella, then relevant surgery** is still required, and relevant functional recovery training is carried out after surgery.

3. The preferred method after patellar dislocation is to reduce the patella to the articular surface of the patella by manual reduction, and then give the relevant plaster brace or brace, fixed for ten to fourteen days, and after the acute phase, carry out functional training, and then massage by an experienced teacher, which is helpful for the recovery of function.

4. From the perspective of clinical medicine, taking medicine for patellar dislocation is not good. Because patellar dislocation is divided into fresh dislocation and old dislocation, fresh dislocation is generally caused by trauma, and old dislocation is caused by trauma after the dislocation is not correct**, or congenital development problems. Therefore, after having a patellar dislocation, taking medicine can only relieve the symptoms, but it cannot fundamentally solve any problems, which requires surgical intervention**.

Although some patellar dislocations do not need surgery, at least it should be fixed, so that the joint capsule and ligament on its inner side can be repaired, and then the patella can be maintained in the patella joint and carry out a normal trajectory, which can solve the problem.

I had patellar dislocation surgery at North San.

So you must take my advice!

1. I did it by Dr. Gong Xi. Very, very nice doctor. You must call him. Week.

I went on the morning of February and Friday.

2. Take an MRI.

3. Don't exercise too much before surgery. Rest.

4. I had patellar dislocation surgery in 2009, and the nail I took this year was done in the Third Hospital of Beijing Medical University, and the effect was very good. Now he is completely like a normal person, and he has become friends with Dr. Gong Xi. He is particularly cheerful and handsome.

5. There were no sequelae left by the operation.

It's even better now than it was then.

If you still have questions, you can call me**. After all, I have been all the way, and I know the hardships in the whole process.

Good luck with you**.

The cost of the operation is 10,000 yuan.