| CASE REPORT |
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| Year : 2019 | Volume
: 19
| Issue : 2 | Page : 62-65 |
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Surgical treatment of chondral defect of patella associated with patellar subluxation
Naif Mohammed Alhamam1, Ronald A. Dimentberg2, Ahmed Khalid Almulhim3, Omar Abdullaziz Alanzi4
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
 Source of Support: None, Conflict of Interest: None  | Check |
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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