What is patellofemoral instability?

Patellofemoral instability refers to the kneecap (patella) slipping out of its normal position, often leading to dislocation. It commonly affects young adults, athletes, and individuals with joint hypermobility or alignment issues.

What causes the kneecap to dislocate?

Kneecap dislocation can result from trauma, twisting injuries, or anatomical factors such as a shallow trochlear groove or poor patellar alignment. It is more common in active individuals and those with ligament laxity.

How is patellofemoral instability diagnosed?

Diagnosis involves clinical examination and imaging such as X-rays, 3T MRI, or CT scans to assess bone structure, cartilage damage, and alignment. Professor Chinmay Gupte performs a full biomechanical assessment during your consultation.

Do I need surgery for a dislocating kneecap?

Not always. Many first-time dislocations can be treated with physiotherapy. Surgery is recommended for recurrent dislocations or if imaging shows structural issues like ligament rupture or bone misalignment.

What surgeries can help stabilise the kneecap?

Procedures include MPFL reconstruction, trochleoplasty, tibial tubercle osteotomy, or lateral release, depending on the patient’s anatomy and dislocation severity. Professor Gupte tailors surgery based on each individual case.

What is a children's ACL injury?

A children's ACL injury refers to a tear of the anterior cruciate ligament in the knee, often caused by sports-related activities. In children, these injuries must be managed carefully to avoid damage to the growth plates.

How is ACL surgery different in children?

Children require growth-sparing ACL reconstruction techniques, such as all-epiphyseal or partial transphyseal methods, to protect open growth plates and ensure proper bone development.

Does every child with an ACL tear need surgery?

Not always. Some children can be managed with physiotherapy and activity modification. Surgery is recommended for ongoing instability or high-risk sports involvement.

What is the recovery time after paediatric ACL surgery?

Recovery typically takes 9 to 12 months, including physiotherapy, rehab milestones, and return-to-sport clearance under specialist guidance.

Who is the best children’s ACL surgeon in London?

Professor Chinmay Gupte is a highly experienced consultant orthopaedic surgeon specialising in children’s ACL injuries. He offers expert, growth-sparing ACL surgery at the Sportshealing Clinic in London.

Wound Care at Home – A Simple Guide

7 Jan

Written By Chim Gupte

Looking after your surgical wound is critical to prevent infection and support healing.

Here are the basics:
- Keep the dressing clean and dry for the first 12 days
- Change dressings only as advised – don’t pick at scabs
- Look for signs of infection: redness, swelling, very hot, pus: but the knee will always be slightly warm and swollen after surgery so this is normal.
- Use prescribed topical creams or ointments only after a fully healed scar has formed usually 4 weeks after surgery
- Avoid swimming or soaking the wound until fully closed

We will give you a complete printed and digital wound care leaflet after surgery.

Remember: clean hands = happy wounds!

Chim Gupte

Wound Care at Home – A Simple Guide

Locations:

Chinmay M Gupte

Contact

Wound Care at Home – A Simple Guide

Rehab vs Surgery – What’s Right For Your Knee?

Locations:

Chinmay M Gupte

Contact