Patellofemoral Realignment

Patellofemoral realignment is a surgical procedure used to correct problems with the alignment of the patella (kneecap) and the femur (thigh bone) in the knee joint. When these bones are not properly aligned, it can cause pain, instability, and other symptoms.
During a patellofemoral realignment procedure, the surgeon will make an incision in the knee and reposition the patella to improve its alignment with the femur. This may involve cutting or releasing tissues on one side of the patella and tightening tissues on the other side to correct any imbalances.

There are several different types of patellofemoral realignment procedures, including:

Medial patellofemoral ligament (MPFL) reconstruction: This procedure involves reconstructing the MPFL, a ligament that helps to stabilize the patella and prevent it from dislocating.

Tibial tubercle osteotomy: This involves cutting the bone in the lower leg (tibia) and repositioning it to change the angle at which the patella meets the femur.

Lateral release: This involves cutting or releasing tissues on the outside of the knee to relieve pressure on the patella and improve its tracking.

Patellofemoral realignment is typically used to treat conditions like patellar instability, patellofemoral pain syndrome, and patellar dislocation. It may be recommended when non-surgical treatments like physical therapy and bracing have not been effective.

As with any surgery, there are risks associated with patellofemoral realignment, including infection, bleeding, and nerve damage. Recovery time will depend on the specific procedure performed, but most patients can expect to be on crutches for several weeks and undergo physical therapy to help restore strength and mobility to the knee.