Quadriceps muscle contracture is the main pathology in cases of congenital dislocation of Knee. This can be easily accessed and released through percutaneous approach using a wide bore needle. This technical note describes the technique in details. It is a simple technique with minimum complications and gives good results in selected cases. Case Report:We present a 14 year old girl who came with a history of acute pain, swelling, inability to bear weight on the right knee following a dance practice. MRI showed stage IV osteochondral fragment measuring 20x 8mm lying free. This was primarily fixed with bioabsorbable implants. 10 months follow up showed excellent clinical and functional results.

Keywords: congenital dislocation of knee, percutaneous needle tenotomy; quadriceps tenotomy.

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