Patella Re-alignement
What is patella re-alignment surgery?
Patella realignment surgery is used to treat recurrent instability or maltracking of the kneecap (patella), where the patella does not move correctly within its groove during knee movement. Depending on the underlying cause, this may involve soft tissue procedures, bony realignment, or a combination of both.
Dr Varun Arora performs patella realignment surgery for patients across Melbourne and regional Victoria experiencing ongoing patellar instability that has not responded to non-surgical treatment.
What is involved in patella realignment surgery?
Assessment of the underlying cause
Imaging and clinical assessment are used to determine the specific factors contributing to patellar maltracking, which guides the choice of surgical technique.
Soft tissue realignment
This may involve releasing tight structures on the outer side of the knee and/or reconstructing ligaments such as the MPFL to help guide the kneecap correctly.
Bony realignment
In some cases, the attachment point of the patellar tendon on the shin bone (tibial tuberosity) is repositioned to improve the alignment of the kneecap during movement.
Recovery
Recovery depends on the specific combination of procedures performed, and generally involves a period of bracing or protected weight-bearing followed by a structured physiotherapy program.
General risks overview
As with any surgical procedure, patella realignment surgery carries risks. Potential risks and complications can include:
Infection
Blood clots
Recurrent instability
Stiffness
Ongoing pain
Nerve or blood vessel injury
Risks specific to bony realignment, such as delayed bone healing, where this technique is used
Risks associated with anaesthesia
This is a general overview and not a complete list. Dr Arora will discuss the risks and benefits relevant to your individual case in detail.
Patella Re-alignement Frequently Asked Questions
How is patella realignment different from MPFL reconstruction?
MPFL reconstruction is one type of soft tissue procedure used to treat patellar instability. Patella realignment surgery is a broader term that may include MPFL reconstruction, other soft tissue techniques, or bony procedures, depending on what is contributing to your instability.
How do I know which type of realignment I need?
Dr Arora will assess the underlying cause of your patellar instability through examination and imaging to recommend the most suitable approach.
How long is recovery?
This depends on the specific procedures performed, and will be discussed with you individually.
Knee Surgery in Melbourne
If you would like to discuss your symptoms or treatment options, contact Dr Varun Arora to schedule a consultation.