The patella lies at the end of the thigh bone, placed in a groove in the front side of the knee. The patella moves up and down the groove as the knee bends and straightens respectively. But at times, due to an injury or a hard fall, the patella might slide to the side to a large extent. This results in Patellar instability or patellar dislocation.
Clinical examination mostly clinches the diagnosis. However an x ray would be necessary to confirm it. MRI scanning may be necessary in relevant cases to rule out additional injuries.
Usually a first time straight forward knee cap dislocation does not need surgery. The surgeon reduces the dislocation after giving pain medication with or without anaesthesia. After getting the knee cap into anatomical position a plaster is applied to the leg and left for 3 to 6 weeks depending on the severity of the injury. After the treatment normal activities are started gradually, with strengthening of specific group of muscles to prevent recurrence.
But if the Knee cap dislocates again and again then probably surgical reconstruction of the ligaments will rectify the problem. Most of the times the MPLF (Medial Patello-Femoral Ligament) is torn and it has to be reconstructed by using patients own ligaments. After a period of rest and physiotherapy patients can lead an active and normal life without any restriction of activity.
I met with an accident on Nov 8, 2017. My bone got smashed into 4 pieces heavily. I thought i wont reappear by walk, but with his auspicious treatment i just got completely cured in 2 months and i am on running on my leg now. He has returned back my normal life. Congrats and well done Sir.
My mother in law had her second knee replacement surgery and she is walking fine now,and Dr. Raj Kanna sir is very good at explaining the do's and don't s to the patient.
I had meniscus tear on my right knee. Thanks to Dr. Rajkanna. He explained the exact details of the status of injury, procedure to be done and do's & don't s after surgery. He didn't demand much as fees. I am feeling good like before the occurrance of injury. I would recommend him for Ortho related problems.