DOI: 10.36347/sjams.2019.v07i02.066

Pages: 745-748

Patella femoral pain is reported by a majority of patients with anterior knee discomfort attending the orthopedic clinic with varying age group distribution. The symptoms often adversely affect their activities of daily leaving. Often patients present later with increased symptoms with the development of patella-femoral arthritis. Methods: This study was conducted In the Department of Orthopedics, Prathima Medical College, Nagunoor, Karimnagar, and Telangana. The study group included patients attending orthopedic OPD with complaints of knee discomfort catching knee pain, clicks episodes of subluxation and dislocation with or without minor trauma or strain. After thorough clinical examination x-ray of both the knees standing, AP, lateral and skyline view of the patella were taken. A lateral soft tissue release using a mini-incision keyhole surgical procedure on an OPD basis was done under local anesthesia. The patients were mobilized at the end of two weeks with concomitant quadriceps strengthening exercises. The improvement in knee function was assessed postoperatively at 6 weeks, 6 months, 1 year and 1 ½ year using OKS. Results: A total number of 14 patients were selected for specific planned treatment after the patella skyline view showed features of maltracking. All the patients were females. The age group varies from 16-59 years, maximum numbers were in the age group below 16 - 20 where there were n=7(50%), between 20 and 40 there were n=3 patients(21.43%) and between 40 and 60 there were n=7(28.57%). The mean OKS where 42.50 before surgery and 20.50 after surgery (range 12-45).