Exercises
It is important to improve the stability of the knee in case of a patella luxation. In addition to building up the musculature through appropriate exercises, balance and coordination training should be carried out. The following exercises are suitable for this: One leg stand (important: keep knees slightly bent) Running on an Airex mat, trampoline, wobble board
- Move with the other leg in all directions (8th letter)
- Therapist gives resistance to pelvis, knee or foot
- Throw the ball so that the concentration is no longer on the knee
- Ormal walking to get used to the underground
- From walking stop on command and hold position
- Faster walking (increase with also stop out of motion)
- Practice one-legged stand
- Increase see above.
- Pendulum movements with the other leg
Increase in exercises after a few weeks: Lunges on uneven ground Squats on uneven ground Jumps from right to left with holding the leg axis Jump on one leg on uneven ground Sprinting on a large mat with sudden stops Jumps on the mat or one-legged stand
- Lunges on the uneven surface
- Knee bends on the uneven ground
- Jumps from right to left with holding the leg axis
- Jump on one leg on uneven ground
- Sprinting on a large mat with sudden stops
- Jumps on the mat or one-legged stand
Bandage
Wearing a bandage is only advisable to prevent further patella dislocation. Again, extensive strength training should be emphasized to stabilize the knee. In the knee joint, the support ensures that the structures that stabilize the knee are supported. If the frequency of dislocation is high, surgery is usually performed to correct the muscle imbalance.
Operation
If the conservative therapy does not bring the desired success and a relauxation occurs, surgical treatment is advisable. The retinaculum (retaining ligament of the patella) is gathered together on the medial side to give the patella less room to move. This also improves the contact surface of the patella, so that increased wear of the joint surfaces can be prevented.
The extent of the injury to the structures can be determined by MRI, CT and X-ray. The surgeon will adjust the operation according to the findings. This is usually done by arthroscopy.Here, the knee joint is examined with the help of an inserted camera, which allows a minimally invasive procedure and no large incisions are made. After the operation, the load is to be increased according to the pain and mobility. However, the load during sports should only be increased after several months.
