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CASE REPORT
Year : 2019  |  Volume : 19  |  Issue : 2  |  Page : 62-65

Surgical treatment of chondral defect of patella associated with patellar subluxation


1 Department of Orthopedic, Medical College, King Faisal University, Hofuf, Saudi Arabia
2 Department of Orthopedic Surgery, Harvard University, Cambridge, Massachusetts, USA
3 Orthopedic Surgery Resident, King Fahad Hofuf Hospital, Hofuf, Saudi Arabia
4 Otolaryngology Head and Neck Surgery Resident, King Fahad Specialist Hospital, Dammam, Saudi Arabia

Correspondence Address:
Dr. Ahmed Khalid Almulhim
College of Medicine, King Faisal University, Hofuf, Eastern Region
Saudi Arabia
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DOI: 10.4103/sjsm.sjsm_29_18

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We present the case of a 49-year-old patient brought to the hospital with sudden onset of pain and swelling after falling down on a flexed knee while playing football. In the history review, the patient denied any patellar dislocation, previous injury, and surgical interventions. Examination revealed a grossly swollen knee anteriorly, with tenderness and moderate-to-severe effusion. Magnetic resonance images showed injury to the medial patellofemoral ligament and loose cartilage fragments, which is a rare occurrence without patellar dislocation. Surgery was done 5-day postinjury. To prevent the future complication of the injury, the patient underwent open reduction and internal fixation of the osteochondral fragment with 3.0-mm cannulated screw. After a year, the patient underwent the removal of screw and diagnostic arthroscopy, which portrayed that the patella cartilage had healed. The patient return to playing football 9 months after the surgery.


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