Which surgery can be done to correct loose ligament joints?

Question

Hi doctor,

I am a 23-year-old, and my height is 5 feet and 11 inches. Please look at my legs. I can walk, run and sit. I have loose ligamental joints (collateral ligaments) from childhood, and I have a small patella. What is the problem of having loose ligamental joints in the future? Is there any problem with the small patella? I cannot stand for more than 30 minutes. I feel uneasy standing, and around my knee cap sometimes I get a burning sensation for a short duration. Is there any surgery to correct loose ligament joints?

Answer 1

Hello,

Welcome to icliniq.com.

I have gone through your history and the images provided here (attachment removed to protect patient identity). From images, it appears that you have genu valgum deformity in your left knee. There is no supportive evidence or examination notes stating about small patella or laxity of the collateral ligaments. Small patella leads to patellar maltracking syndrome leading to early wear out of the cartilage leading to patellofemoral pain and patellofemoral pain arthritis. Collateral ligament laxity is a component of universal laxity of all the ligamentous structures in the body isolated involvement of the ligament is seen in post-traumatic cases, and these cases present with the instability of the knee joint. You have not mentioned any history supportive of this. In the case of traumatic collateral ligament injury, it can be surgically repaired whereas generalized ligament laxity is not repaired. Ligament laxity by any means will lead to symptoms ranging from joint instability to repeated dislocation with minor force. These conditions predispose the joint to early osteoarthritic changes. My recommendation for you is to get physically evaluated and get a diagnosis first and then look for its treatment.