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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2005

Open Access 01-12-2005 | Case report

Bilateral recurrent discloation of the patella associated with below knee amputation: A case report

Authors: Sumit Batra, Ratnesh Kumar, Prasanna Lenka

Published in: BMC Musculoskeletal Disorders | Issue 1/2005

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Abstract

Background

Recurrent dislocation of the patella in patients with below knee amputation is a known entity. Abnormally high-riding patella (patella alta) and medial patellofemoral ligament insufficiency in these patients predisposes them to patellar instability. The established treatment of this problem is surgical realignment.

Case presentation

A 25 year old male patient with bilateral below knee amputation presented with bilateral recurrent dislocation of the patella while walking on knees on uneven ground. Clinical and radiographic studies showed patella alta. A simple shoe modification was used to treat this patient.

Conclusions

A simple shoe modification can be used to treat such a condition which is otherwise treated surgically.
Appendix
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Literature
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Insall J, Goldberg V, Salvati E: Recurrent dislocation and the high riding patella. Clin Orthop. 1972, 88: 67-9.CrossRefPubMed
2.
McIvor J, Gillespie R: Patellar instability in juvenile amputees. J Pediatr Orthop. 1987, 7 (5): 553-6.CrossRefPubMed
3.
Mowery CA, Herring JA, Jackson D: Dislocated patella associated with below-knee amputation in adolescent patient. J Pediatr Orthop. 1986, 6 (3): 299-301.CrossRefPubMed
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Arendt EA, Fithian DC, Cohen E: Current concepts of lateral patella dislocation. Clin Sports Med. 2002, 21 (3): 499-519.CrossRefPubMed
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Amis AA, Firer P, Mountney J, Senavongse W, Thomas NP: Anatomy and biomechanics of the medial patellofemoral ligament. Knee. 2003, 10 (3): 215-20. 10.1016/S0968-0160(03)00006-1.CrossRefPubMed
Metadata
Title
Bilateral recurrent discloation of the patella associated with below knee amputation: A case report
Authors
Sumit Batra
Ratnesh Kumar
Prasanna Lenka
Publication date
01-12-2005
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2005
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-6-9

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