A Young Patient With a Kneecap That Kept Dislocating: A Surgical Case
Dr. Amr Elyamany shares a challenging case from the operating list: a young patient whose kneecap (patella) dislocated whenever they played or twisted the knee, because of a problem that dates back to how the knee developed.
What was wrong?
The kneecap had a dislocation problem linked to growth: the ligament that normally holds the kneecap in place on the inside of the knee was not fully formed. As a result, the patella slipped out of its groove during sport or a simple twist.
First, conservative treatment
At a young age the team always tries non-surgical treatment first: physiotherapy and medication to strengthen the muscles. In this patient the result was not good.
The operation
The surgeons took a tendon graft and rebuilt the missing inner ligament (the medial patellofemoral ligament). Two tunnels were made in the kneecap and the graft was secured with anchors, then it was fixed again at the thigh bone.
Why precision matters
A difference of a few millimetres in the position of the kneecap matters. If the reconstruction is not done carefully, the problem can move to the other side: either the knee becomes tight, or it dislocates again. Rehabilitation and physiotherapy follow the surgery.
Key takeaway: A dislocating kneecap is not just an inconvenience; treating it correctly protects the joint from damage later.
When to see a doctor
- A kneecap that slips out or feels as if it will
- Repeated giving way of the knee during sport
- Knee pain at the front, especially after a previous dislocation
Need advice about your own case? Book a consultation with Dr. Amr Elyamany in Dubai.
This article is for general education and does not replace an in-person medical examination. If you have symptoms, please consult a qualified doctor.