A 25 years old bilateral below knee amputee presented with recurrent dislocation of the patella while walking on knees in emergent situations on uneven ground without the prosthesis. Amputation was performed at the age of 15 years as a result of train accident. Since then he has been using patellar tendon bearing (PTB) type below knee prosthesis on both sides. First episode of dislocation occurred after 5 years of amputation. The patient used to walk on his knees without using the prosthesis for in-house activities on uneven ground. His patella used to dislocate whenever there was an unnoticed pressure on the medial side of the knee. On clinical examination, patella alta and positive apprehension test were noted on both sides. The ratio of patellar length to patellar tendon length was 0.8 on both sides demonstrating relative elongation of the patellar tendon. The normal ratio is 1.0. Modified shoes were given to the patient which were moulded in the inner surface around the patellar tendon and femoral condyles to provide uniform distribution of weight over a wider area. Another moulding was done on lateral side that prevented excessive movement of patella laterally [Fig. 1]. The patient was allowed to walk on knees after wearing these shoes [Fig. 2]. At 6 months follow up the patient is doing well with no recurrence.