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Author Topic: Multiple Dislocations of the Patella, Lateral Releases, PT, and now...  (Read 104 times)

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Offline Elaine4tulsa

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I'm 39, had knee dislocations since I was 13.  My cartilage fell of the back of my left knee cap from maltracking (it felt like a little spoke on a wheel as i was walking... VERY weird feeling), went in for a lateral release, Physical therapy, BUT my knee cap is catching on my leg bone now. The surgeon said they can inject under my knee cap with a gel made of chicken combs.  Going to get that procedure on Monday 9/17/18.  My right knee cap is now tilted, supposed to go in for a lateral release on that one on 9/20/18, BUT MRI shows on BOTH knees that the grove on my leg bones is not deep enough to hold in my knee caps in place, SO a knee cap replacement is NOT an option because the artificial knee cap will just dislocate all the time.  Since I am not 50, they are not wanting to do a total knee replacement yet for my knee cap instability.  By the way, my boss is not happy with all the time I'm taking off work for my medical issues and I am so done with crutches, canes, and PT. !!!   

MRI results are:  Multifocal grade3-4 patellar chondrosis with patellar maltracking and anatomy Dejour Type A trochlear dysplasia

My questions (if I can get any answers):  What is walking with my knee caps unstable for 10 more years going to do to my back and hips?
If there is no groove for my knee cap to sit in, then what is the gel injection going to do, cause more dislocations?
Can working out like a body builder keep my knee caps in place without doing anymore surgeries(I WILL do it if I know 100% it will work)?

I can give more info and MRI results to read if needed.  By the way, I have one of the best (top 10 ) orthopedic surgeons in Oklahoma.  people travel out of state to see him.

Just wanting to gather more info from other places to see what my options are.  If anyone else has these same issues.  Tired of being in pain.
« Last Edit: September 14, 2018, 07:01:12 PM by Elaine4tulsa, Reason: added the Imression for the MRI »

Offline Vickster

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Re: Multiple Dislocations of the Patella, Lateral Releases, PT, and now...
« Reply #1 on: September 14, 2018, 07:04:38 PM »
If youíve got shallow grooves, are there any surgeons you can consult about trochleoplasty where the groove is surgically deepened? Itís a specialist surgery so find annexoert. Thereís a list of patella femoral surgeons in the who who list in the primer section of the learning portfolio and this

http://www.kneeguru.co.uk/KNEEnotes/primers/whos-who-knee-surgery/whos-who-trochleoplasty
« Last Edit: September 14, 2018, 07:06:47 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline NatalieC

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Re: Multiple Dislocations of the Patella, Lateral Releases, PT, and now...
« Reply #2 on: September 19, 2018, 11:30:02 AM »
Hi there,

Shallow groove is a really specific problem that most procedures won't really fix. I've had lateral releases, micro fracture Done, physio etc but to no avail. The biomechanics of the knee aren't right ultimately.

Have a read about trochleoplasty. I've just had this done 7 weeks ago and basically have a brand new knee. It's incredible seeing the difference visually against my non-operated on knee. I'm looking forward to no more OA, catching, locking or dislocating!!

Nat