Kneecap Surgery: Realignment
Some procedures may be done using arthroscopy, a method that uses tiny
incisions and special instruments to look and work inside the knee joint.
Other procedures require open surgery. The kneecap can be realigned to
improve its tracking. To do this, soft tissue may be cut or moved.
Surgery may be used when pain severely limits your activities. Or it may
be done when a rehab program just isn't helping enough.
Releasing tissue (lateral release)
This is done with either open surgery or arthroscopy.
Releasing (cutting) the retinaculum reduces the pull on the kneecap so that it moves
into its proper place. Releasing a plica band may also reduce pain.
Moving a quadriceps muscle (quad transfer)
This procedure balances pull from the upper leg and is done through open
surgery. Part of the muscle is detached. Then it is reattached at a new
place on the kneecap.
Shifting the attachment of the patellar tendon (patellar realignment)
This procedure improves tracking and is done using open surgery. Part of
the tendon and the bone underneath are moved to a new location.
Recovering from Surgery
As you recover, you can aid the healing process by taking it easy at first.
Your knee may be bandaged, wrapped, or iced to keep swelling down. You
may be given a brace to protect your knee. This helps improve your range
of motion and speed healing. Keep your leg raised above your heart so
fluid can drain away and swelling is reduced. Surgery is often followed
by a rehabilitation program.