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
Options
Excise lower third patella tendon
Patella tendon reconstruction with achilles tendon allograft
Tibial tubercle osteotomy and proximalization
Patellectomy
Proximalization fo the tibial tuberosity
