What should I do if my child has a dislocated patella? Tell you an effective solution

Patellar dislocation is most likely to occur in children. Parents need to pay attention to this disease and choose the most correct treatment method based on the child's actual situation. If necessary, soft tissue surgery or patellar ligament transposition can be performed.

1. Soft tissue surgery

(1) Tightening and suturing of the medial patellar retinaculum and medial patellofemoral ligament can be performed under arthroscopy.

(2) Inferior and medial transposition of the quadriceps femoris head.

(3) Upward transposition of the lateral head of the quadriceps femoris.

2. Patellar ligament transfer

The lateral half of the lower end of the patellar ligament was cut and flipped inward and sutured.

3. Tibial tubercle transposition

The tibial tuberosity is dissected and displaced medially and anteriorly.

4. Osteotomy

For patients with significant femoral rotation and genu valgum, osteotomy correction may be considered.

5. Patellofemoral arthroplasty

Reshape the patella, raise the lateral condyle of the femoral trochlea, and deepen the femoral trochlear groove.

6. Medial patellofemoral ligament reconstruction

Reconstruction of loose or ruptured medial patellofemoral ligament using other tendinous tissue.

Patellar dislocation care:

1. Psychological care

Adolescent patients with patellar dislocation have poor psychological endurance, are afraid of surgery, worry about surgical failure, have no confidence in the results of the surgery, and experience negative emotions such as anxiety and tension.

The responsible nurse provides warm and enthusiastic psychological counseling in a timely manner, introduces basic knowledge about the disease, explains the necessity of the operation, the prognosis and some precautions to the patient and his family, introduces the technical title and professional ability of the surgeon, introduces successful surgical examples, enhances the patient's sense of trust, eliminates negative emotions, alleviates the patient's concerns, enhances self-confidence, establishes a good doctor-nurse-patient relationship, enables the patient to adjust his psychology to the best state, and actively cooperates with the operation and treatment.

2. Health guidance

Fully understand the overall condition of patients with patellar dislocation, drink plenty of water, and train them to urinate and defecate in bed. Because of anesthesia, immobilization and postoperative pain, patients need to defecate and urinate in bed within 1 to 3 days after surgery, especially patients with bilateral patellar dislocation who must do so in bed for 1 month after surgery; guide patients to perform muscle contraction and relaxation exercises for the affected limb, explain to patients the methods and importance of functional exercises, and obtain patients' cooperation and attention.

3. Diet care

Patellar dislocation patients should improve their nutrition, eat more protein-rich foods such as fish, eggs, soy products, etc., and increase calcium appropriately. Drink more water and eat more vegetables and fruits, such as green vegetables, celery, bananas, etc.

Patients with patellar dislocation should avoid eating irritating foods such as chili peppers, mustard, etc. Habits such as smoking and drinking should be given up. Avoid eating fried, smoked, grilled, raw, cold, or spicy foods, and avoid eating high-salt and high-fat foods.