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Kneecap Dislocation Surgery in Perth, WA

Kneecap dislocations are a common cause of instability and pain in the front of the knee. If left untreated, they can lead to chronic instability and cartilage damage.

Dr. Duff provides expert diagnosis and surgical solutions for kneecap dislocations at his orthopaedic practice.

Kneecap Dislocation
About

What Is a Kneecap Dislocation?

The kneecap (patella) normally sits within a groove at the end of the thigh bone (femur), forming the patellofemoral joint. It is held in place by a combination of bony alignment, ligaments, and balanced muscle forces.

A dislocation occurs when the patella is forced out of this groove, typically toward the outside of the knee. This is often caused by twisting movements or trauma during sports.

Physiotherapy Treatment

What Causes Kneecap Dislocations?

Kneecap dislocations can result from an injury, but are more likely if there are anatomical risk factors, such as:

  • A shallow patellar groove
  • Loose or “stretchy” ligaments (hyperlaxity)
  • High-riding kneecap (patella alta)
  • Knock-kneed alignment (valgus knees)
  • Abnormal rotation of the femur or tibia


These structural factors can lead to recurring instability after an initial dislocation.

Understanding Kneecap Dislocations

Causes, First-Time Treatment, and When Surgery Is Needed

Kneecap dislocations may result from injury or anatomical risk factors like patella alta or hyperlaxity.

First-time cases are often managed with rest and physiotherapy, but surgery may be recommended for recurrent dislocations or if structural issues are present.

What Should I Do If My Kneecap Dislocates?

If your kneecap dislocates:

  • Try to straighten the leg slowly — this may help the patella reduce back into place
  • Seek immediate medical care
  • If your knee is very swollen, a fracture or cartilage injury may have occurred and should be investigated with X-rays or MRI

For first-time dislocations without fracture, treatment typically includes:

  • A period of rest and immobilisation in a brace
  • A structured physiotherapy program to strengthen muscles and improve patellar tracking
  • Activity modification to reduce re-injury risk


If symptoms improve and the patella remains stable, surgery may not be required.

Surgery is usually advised if:

  • You’ve had two or more dislocations
  • You have ongoing instability or pain despite rehab
  • Imaging shows damage to the bone or cartilage
  • Your anatomy significantly increases the risk of recurrence

If you experience significant swelling after a dislocation, a piece of bone or cartilage may have broken off behind the kneecap or in the femoral groove. In this case:

  • Surgery may be required to repair or remove the loose fragment
  • Early intervention can preserve joint function and prevent long-term complications


This should be treated as an urgent orthopaedic concern.

Hospital Stay
Recovery and rehabilitation​

What to expect​

Recovery following MPFL reconstruction typically includes:

  • Immediate weight-bearing with crutches and a brace for comfort
  • Full range of motion allowed from day one
  • Physiotherapy to restore quadriceps strength and knee control
  • Return to school/work: ~2 weeks
  • Return to sport: ~4 months with clearance


Dr. Duff will tailor your recovery based on your physical goals and progress in rehab.

Book a Consultation

If you’ve dislocated your kneecap or are experiencing ongoing knee instability in Australia, Dr. Samuel Duff can provide a detailed assessment and treatment plan tailored to your anatomy and lifestyle.