Patella Baja

Patella Baja

 

Aetiology

 

Congenital

 

Acquired

- trauma

- post ACL reconstruction / TKR

- chronic quadriceps rupture

 

Issues

 

Decreases ROM

Associated with early OA of the PFJ

 

Diagnosis

 

Blackburne-Peel ratio at 30 degrees flexion

 

Patella Baja Blackburne Peele

 

Options

 

Excise lower third patella tendon

Patella tendon reconstruction with achilles tendon allograft

Tibial tubercle osteotomy and proximalization

Patellectomy

 

Proximalization fo the tibial tuberosity

 

Proximalization of Tibial tuberosity 1Proximalization tibial tuberosity 2

 

Patella BajaPost proximalization tibial tuberosity