The patella, also known as the kneecap, is a bone located at the front of the knee, and its main function is to optimize the force generated by the quadriceps for leg extension.
Patellofemoral dislocation occurs when the kneecap dislocates abnormally outward, losing its proper alignment with the femur. This type of injury can be caused by direct trauma, falls, or sudden movements.
When a patellofemoral dislocation occurs, it is important to seek medical assistance immediately. It is advisable to keep the knee immobilized and apply ice to the affected area to reduce swelling and pain. Avoid moving the knee and do not attempt to reposition the dislocated bones, as these are important measures to prevent further damage.
Surgery is generally recommended in cases of severe injuries, such as dislocations accompanied by bone fractures, recurrent dislocations, or chronic instabilities. The goal of the surgical procedure is to allow realignment of the kneecap with the femur, enabling harmonious mobility without discomfort. Surgery may involve fixing bone fragments or repairing torn ligaments (in cases of acute dislocation) or reconstructing damaged structures and realigning bones if necessary in cases of chronic instabilities. The decision to perform surgery should be made in consultation with a specialized orthopedic surgeon, who will assess the severity of the injury and the individual needs of each patient.
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