Treatment for patellar instability depends upon the nature of the event (dislocation versus subluxation), the number of episodes experienced, the presence of anatomic predisposing factors for patella instability, associated injuries in the knee, and the response to previous treatments. In first-time dislocation events, typically conservative treatment, including short-term immobilization and bracing are employed. Physical therapy is critical in helping regain muscle strength to restore dynamic stability of the patella.
Despite these treatment modalities, the rate of recurrent instability episodes can reach 50%. For patients who suffer from debilitating recurrent instability episodes that have failed to respond to non-operative treatment measures, surgical treatment may be considered. The type of the surgery depends upon the quality of the soft tissue stabilizers as well as the patient’s bony anatomy. The surgery may either be a soft tissue procedure, a bony procedure, or a combination of both.
At Oceana Sports Medicine and Orthopaedic Center, Dr. Aboka performs minimally invasive Arthroscopic Patella Instability Surgery, customized to each patient and utilizing cutting edge approaches and instrumentation, facilitating a return to an active lifestyle.