Triple Technique for Neglected Locked Patellar Dislocation With Lateral Release, Synthetic Medial Patellofemoral Ligament, and Peroneus Longus Autograft Medial Quadriceps Tendon‐Femoral Ligament Reconstruction

Patellar dislocation is a frequent emergency presentation. First-time dislocations are associated with medial patellofemoral ligament injury in up to 94.7% of cases. Although many reduce spontaneously, reduction under anesthesia may be required. Conservative treatment with bracing and physiotherapy remains the standard initial approach in first-time dislocations. Recurrent patellar dislocation usually requires surgical management for medial patellofemoral ligament reconstruction ± bony procedures or tracheoplasty. Neglected locked patellar dislocation is a rare situation and challenging condition that lacks standardized management strategy and requires a tailored approach for both reduction and soft tissue reconstruction. This technical note describes a combined surgical technique for management of neglected locked patellar dislocation.