Question - Subluxing Patella (Dislocated Kneecap)

by Deborah
(Holmesville, OH USA)

My daughter suffers from this and she is in college track she has been in rehab for a year and still no luck on recovery. What is our next step and who do we go to for help?

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Jun 06, 2008
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A stabilization surgery might be next
by: Bart - SII

If your daughter has exhausted conservative rehabilitation - and those efforts have looked at the whole lower body and not just the knee (ankle mechanics, hip strength, core strength, etc) then the next option is most likely a surgical consultation.

The best way to go about this is to find the best knee surgeon in your area and then sit down and talk with them about your daughters situation. A patella dislocation followed by multiple subluxations that fail conservative rehab is usually a good candidate for some type of patella stabilizing procedure - such as a medial patella realignment or a reconstruction of the medial patella femoral ligament. A lateral release is not usually effective in treating this type of problem.

You should look for a surgeon who has performed these types of procedures with good results, and who is a firm believer in rehabilitation after surgery. And don't be afraid to talk to several physicians to find the one you are most comfortable with - it is your daughters knee and she needs the best care possible.

Hope this helps - comment back if you have other questions.

Jun 07, 2008
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where to find surgeon
by: Deborah Donley

This is what i thought would be needed but do not know how to find the best surgeon in area do you have any sugestions

Jun 12, 2008
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Finding a surgeon
by: Bart - SII

The best place to start is with your primary care physician. They should have an idea of the best knee surgeons within your health system, and should be able to give you a few names. Then I would suggest talking with them about your daughter, and whether they have experience with this type of problem.

The other place to get referrals from is the clinician that helped with your daughters rehabilitation. They will have an opinion as to the best surgeon for her condition. The athletic trainers at her school may also have suggestions as to where to go.

This article about ACL surgeries and choosing your physician might give you some ideas of what type of questions to be asking potential doctors. It is about ACL reconstructions, but the principles apply to any surgery.

Jul 20, 2008
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patella stab surgery
by: Anonymous

My daughter will have the patella stabilization surgery in the morning. We are from Alabama and going to Hughston Clinic in Ga. We tried rehab and it did not work for her.







Jul 22, 2008
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Frustrated
by: Deb

We have visited 4 specialist on this and none of them want to do surgery. she will return to school in 3 weeks and still no luck at this time i am totally discussed with doctors. Each specialest sent us to another with the talk of surgery finally the last one says there is not enough time until she returns to school and he dose not want to do it any way. this all began in May and now we are looking at her return to school with a serious knee problem unfixed.

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