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Patella Instability

Patella instability is a condition where the kneecap (patella) is not held in its proper position in the groove of the thigh bone (femur).

Patella Instability and Surgery: Understanding Your Treatment Options

Patella instability is a condition where the kneecap (patella) is not held in its proper position in the groove of the thigh bone (femur). This can cause the kneecap to slip out of place, leading to pain, swelling, and instability in the knee joint. Sometime the kneecap can return to the correct position by its-self, but for some patients it its necessary to go to hospital to have it re-aligned (also referred to as ‘reduced’).

If you’re experiencing patella instability, surgery may be recommended to help stabilise the kneecap and reduce your symptoms.

What Causes Patella Instability?

Patella instability can be caused by several factors, including:

  • Trauma or injury to the knee joint.
  • Weakness or imbalance in the muscles that support the kneecap.
  • Abnormalities in the structure of the knee joint, such as shallow or tilted groove of the thigh bone.
  • Genetic predisposition to the condition.

Symptoms of Patella Instability

Symptoms of patella instability can include:

  • Pain or discomfort in the knee joint.
  • Swelling or tenderness around the kneecap.
  • A sensation of the kneecap slipping out of place.
  • A feeling of instability in the knee joint.
  • Difficulty with activities that require bending or straightening the knee, such as climbing stairs or running.

Treatment Options for Patella Instability

Treatment for patella instability depends on the severity of your condition and your individual needs. Conservative treatments such as physical therapy, bracing, and activity modification are effective for the majority of patients. However, if conservative treatments fail to provide relief, or your condition is severe, surgery may be recommended.​

Surgical Treatment for Patella Instability

Surgical treatment for patella instability typically involves a procedure to realign the kneecap and stabilise it in its proper position. This may involve:

  • Medial patellofemoral ligament (MPFL) reconstruction: This procedure involves using a graft to reconstruct the ligament that helps hold the kneecap in place.
  • Tibial tubercle osteotomy: This procedure involves repositioning the bony attachment point of the kneecap to better align it with the thigh bone.

Is Surgery Right for You?

The decision to undergo surgery for patella instability depends on several factors, including the severity of your symptoms, the extent of your knee damage, and your personal goals for treatment. 

We can help you determine if surgery is a viable treatment option for you based on a thorough evaluation of your condition. 

If you’re experiencing patella instability, don’t hesitate to seek medical attention. Contact us today to book a consultation and learn more about your treatment options.