Patellar instability surgery in dubai (Kneecap) | Knee Instability Treatment in Dubai

Patellar instability occurs when the kneecap (patella) moves out of its normal position, either partially (subluxation) or completely (dislocation). It often results from structural abnormalities or previous knee injuries and can lead to pain, weakness, and limited function.

Common signs and symptoms include:

• A popping or slipping sensation in the knee
• Pain at the front of the knee, especially during movement
• Swelling and tenderness after activity or injury
• Feeling like the knee is “giving way” or unstable
• Difficulty walking, running, or climbing stairs

The most common causes include:

• Previous patellar dislocations or trauma
• Shallow trochlear groove (where the patella rests)
• Loose or stretched ligaments
• Muscle imbalance or weak quadriceps
• Congenital abnormalities or flat feet

You may be at greater risk if you:

• Are younger (especially adolescents and teens)
  
• Are female
  
• Participate in high-impact sports
  
• Have family history of joint laxity or instability
  
• Have conditions like hyperlaxity (e.g., Ehlers-Danlos syndrome)

If left untreated, chronic patellar instability can lead to:

• Recurrent dislocations
  
• Cartilage damage (chondromalacia patella)
  
• Patellofemoral arthritis
  
• Persistent knee pain and limited mobility
  
• Loss of confidence in knee function

Patellar Instability Diagnosis involves:

• Physical examination to assess patellar tracking and joint stability
  
• Review of medical history and past dislocations
  
• Evaluation of gait, muscle strength, and flexibility

Diagnostic tests include:

• X-rays to assess bone alignment and dislocation history
  
• MRI to evaluate ligament damage and cartilage condition
  
• CT scan for detailed imaging of bone structure and alignment, especially before surgery

Initial management may include:

• Physical therapy to strengthen thigh and hip muscles
  
• Bracing or taping for support during activities
  
• Activity modification to avoid aggravating movements
  
• Anti-inflammatory medications for pain relief
  
• Weight management to reduce pressure on the joint

Surgery may be needed in cases of:

• Recurrent dislocation
  
• Structural deformities
  
• Failed non-surgical treatments
  

Common surgical procedures include:

• MPFL reconstruction (repairing/replacing the medial patellofemoral ligament)
  
• Tibial tubercle osteotomy (TTT) to realign the kneecap
  
• Trochleoplasty to deepen the groove where the patella rests (in rare cases)

With proper treatment, most patients return to normal activities and sports without pain or instability. Surgical outcomes are excellent when paired with dedicated rehabilitation. Early intervention helps prevent long-term joint damage.

Preventative strategies include:

• Strengthening the quadriceps, hamstrings, and hip muscles
  
• Wearing supportive footwear
  
• Avoiding sudden twisting movements during sports
  
• Using a knee brace if you’ve had a prior dislocation
  
• Maintaining a healthy weight

Contact your doctor if you:

• Experience a kneecap dislocation or subluxation
  
• Feel ongoing instability or weakness in the knee
  
• Have pain or swelling that does not improve
  
• Are unable to bear weight or extend your leg properly