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.