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João Luis Afonso Martins* and Francisco Serdoura and Paulo Oliveira
Department of Orthopedics and Traumatology, ULS São João, Porto, Portugal
*Corresponding Author: João Luis Afonso Martins, Department of Orthopedics and Traumatology, ULS São João, Porto, Portugal.
Received: November 24, 2025; Published: December 15, 2025
Nail-patella syndrome (NPS), is an infrequent inherited dysplasia that primarily involves structural underdevelopment of the nails and patellae. Patellar instability is a prevalent manifestation in NPS and, in many cases, necessitates stabilisation through surgical means. Although the majority of published work on the knee involvement in this syndrome concentrates on its clinical presentation and radiographic features, there is limited literature addressing surgical management. This case report details a 19-year-old male diagnosed with NPS, who presented with bilateral anterior knee pain and demonstrated recurrent patellar dislocations affecting both knees. The present study describes a patient with NPS treated surgically by reconstruction of the medial patellofemoral (MPFL) and medial patellotibial ligaments (MPTL) bilaterally with excellent clinical and functional results.
Keywords: Knee; Nails Patella Syndrome; Patellofemoral Reconstruction
Citation: João Luis Afonso Martins., et al. “Bilateral Medial Patellofemoral and Medial Patellotibial Ligament Reconstruction in a Patient with Nails Pattela Syndrome – A Rare Case and Review of the Literature".Acta Scientific Orthopaedics 9.1 (2026): 22-28.
Copyright: © 2026 João Luis Afonso Martins., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.