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Most patella dislocations are treated nonoperatively. Surgery is indicated in cases with osteochondral defects, fractures, or loose bodies. We reviewed 13 consecutive patients who underwent surgical treatment of patella dislocations between 2001 and 2006. At surgery, all patients had MPFL tears and underwent repair at the site of injury. Five osteochondral lesion required open reduction and internal fixation. Six patients underwent loose body removal while 4 required lateral retinacular release. The outcome for twelve patients was excellent. Eleven patients remain on active duty in the military without restrictions. Surgical treatment should be considered for acute patella dislocations for the following indications: loose body, osteochondral fracture, or gross patellofemoral instability.

Surgical Treatment of Acute Patella Dislocations: Review of 13 Consecutive Cases from Keller Army Hospital