most common localisation
underpole
prox tibia also possible
Diagnostic
clinic
X Ray to exclude underpole patella fracture
MRI and US are seldom needed to confirm
Therapy
Operative
Mitek ankers
always with Mc Laughlin
During operation be careful not to
Make the reconstruct too short
Patella Baja has poor outcome
Post operative
articulated splint with max 30° partial weight bearing early mobilisation after 6 weeks increase flexion and load Remove Mc Laughlin after 3-6 months