CHRONIC DISLOCATED PATELLA IN TKR - A SOLUTION USING SYNTHETICS

THIS WAS A CASE REFERED WITH MALROTATED IMPLANT WITH MCL LAXITY AND PATELLAR SUBLUXATION. THE RHK HELPED WITH WALKING BUT 40 DEGREE EXT LAG PERSITED DUE TO PATALLAR DISLOCATION DUE TO LAX MEDIAL TISSUES WITH WEAK VMO. WE DID A LATERAL PATELLAR VY LIMITED LENGTHENING, A XIROS SYNTHETIC LIGAMENT WAS USED OUTSIDE IN AND INSIDE OUT WITH A ONE INCH GAP RESULTING IN A STRONG INTRARTICULAT LATRRAL LOOP WITH A TO PULL THE PATELLA WITH OUT A CUT OUT PASSED INSIDE OUT THROUGH THE PATULOUS MEDIAL VMO AND SOFT TISSUE AND TIED TIGTH TO REDUCE THE PATELLA AND THE MEDIAL TISSUES REEFED AS DEMONSTRATED IN FIG BELOW AND ELIMNATED HER LAG IN 4 MONTHS WITH HELP FROM THE BEST PHYSIOTHERAPY FROM ARUN. PATELLA WAS NOT DRILLED DUE TO POROSIS AND SOME ILLDEFINED EARLY ATTEMPT ELSEWHERE REV