<s>[INST] My 16 year old daughter has trochlear dysplasia and patella Alta. She has had 7 surgeries including trochloeplasty, MPFL reconstruction, tibial tubercle transfers and other surgeries replacing and removing hardware. Her condition is worsened and the doctor has refused to go back in saying she will just have to deal with it. She is having recurrent patellar dislocations failing even while laying in bed. She is completely immobile and I cannot find a specialist close to me by searching the Internet. I don t know what to do. Do you know of any specialist in Kentucky? [/INST] Hi, Her quality of life is suffering; you must locate a pediatric orthopedic surgeon who is more accommodating. Your daughter's history is quite complicated. The best place for her to be seen is a University School of Medicine Hospital. </s>